Individual
SAMUEL EZEKIEL GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N/A
Contact information
Practice address
214 WAIANUENUE AVE STE 209, HILO, HI 96720-2489
(808) 961-7000
(808) 961-7099
Mailing address
24A DERBY LN, HILO, HI 96720-4222
(971) 804-0342
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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