Individual
TRINA MAE ORTEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 SALT LAKE BLVD, HONOLULU, HI 96818-3153
(808) 597-1711
Mailing address
1025 ALA LILIKOI ST APT E108, HONOLULU, HI 96818-2321
(808) 294-3902
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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