Individual
ANNA BROOKE FIEDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75-170 HUALALAI RD STE D212, KAILUA KONA, HI 96740-1780
(808) 556-3120
Mailing address
74-5155 PUUOKALIU PL, KAILUA KONA, HI 96740-9644
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-339098
HI
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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