Individual
STACEY-JOY MEDINA TABUCBUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 ALAKEA ST FL 9, HONOLULU, HI 96813-2833
(808) 523-7771
Mailing address
87235 MAIA STREET, WAIANAE, HI 96792-3726
(808) 277-0832
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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