Individual
GYSON DOMINIC MAQUINDANG QUIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 KAMOKILA BLVD STE 210, KAPOLEI, HI 96707
(808) 591-6060
Mailing address
91-303 MAKALEA ST, EWA BEACH, HI 96706
(808) 312-2337
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-389978
HI
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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