Individual
MR. OLIVER EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
68-1769 LAIE PL, WAIKOLOA, HI 96738-5510
(808) 298-3197
Mailing address
68-1769 LAIE PL, WAIKOLOA, HI 96738-5510
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/01/2016
Last updated
05/01/2016
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