Individual
SHANE TAKESHI KATSURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4510 SALT LAKE BLVD STE D8, HONOLULU, HI 96818-3172
(808) 486-1804
(808) 486-9199
Mailing address
95-1054 MALIELIE ST, MILILANI, HI 96789-4424
(808) 388-5622
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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