Individual
JENNIFER MATSUMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
184 ANAPALAU ST, HONOLULU, HI 96825-1838
(808) 386-3941
Mailing address
184 ANAPALAU ST, HONOLULU, HI 96825-1838
(808) 386-3941
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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