Individual
SARA PURAN HASHEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 KAPAA QUARRY PL #5002, 5002, KAILUA, HI 96734
(808) 247-2973
Mailing address
44-732 PUAMOHALA ST, KANEOHE, HI 96744-2449
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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