Individual
MRS. OLIVIA GATLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3175 ELUA ST STE B, LIHUE, HI 96766-1203
(808) 246-4808
Mailing address
3175 ELUA ST STE B, LIHUE, HI 96766-1203
(808) 246-4808
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-147858
HI
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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