Individual
TAYLER LEHUANANI LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 WAIAKAMILO RD STE 202, HONOLULU, HI 96817-4950
(808) 738-6207
Mailing address
6192 IBIS AVE, EWA BEACH, HI 96706-3328
(808) 738-6207
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-373018
HI
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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