Individual
LOUIE MAE TEJERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 ALA MOANA BLVD STE 1, HONOLULU, HI 96814-4262
(808) 585-1424
Mailing address
92-623 MEHANI ST, KAPOLEI, HI 96707-1158
(808) 426-3548
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-151039
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XLAR000084751254
—
HI
Enumeration date
11/15/2022
Last updated
11/15/2022
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