Individual
DEANNA MARIE STATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
234 WAIANUENUE AVE, HILO, HI 96720-2418
(517) 974-9303
Mailing address
234 WAIANUENUE AVE, HILO, HI 96720-2418
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
HI
Other
Enumeration date
05/27/2016
Last updated
10/06/2016
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