Individual
HANANE SOUIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(909) 944-2882
Mailing address
5180 LIKINI ST APT 401, HONOLULU, HI 96818-3032
(541) 662-1491
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/10/2021
Last updated
04/10/2021
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