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Individual

JAYDA MARIE ORTIZ HATCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
550 KUNEHI ST APT 205, KAPOLEI, HI 96707-2069
(808) 674-6641
Mailing address
91-1005 KAIHEENALU ST, EWA BEACH, HI 96706-5037
(808) 546-9699

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-279232
HI

Other

Enumeration date
06/21/2023
Last updated
06/21/2023
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