Individual
CASSANDRA BALMOJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
553 WAINEE ST, LAHAINA, HI 96761-1109
(808) 446-4561
Mailing address
55 WAIAKA LN APT 201, WAILUKU, HI 96793-2000
(808) 365-8808
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-182041
HI
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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