Individual
SAMUEL ROBERT TEARE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16-359 KEHAULANI ST, KEAAU, HI 96749
(808) 443-9177
Mailing address
125 SAWTELLE AVE, OXNARD, CA 93035
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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