Individual
GEORGI-IILEEN PATRICIA DELGADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
95-202 LAHUI PL, MILILANI, HI 96789-4279
(570) 556-9682
Mailing address
95-202 LAHUI PL, MILILANI, HI 96789-4279
(570) 556-9682
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-73417
HI
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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