Individual
DESIREE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 SALT LAKE BLVD STE D8, HONOLULU, HI 96818-3172
(808) 486-1804
Mailing address
3356 NAKAE AVE, WAHIAWA, HI 96786-3693
(808) 291-6775
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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