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Individual

SASHA WONG-FULTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
45-683 KAMEHAMEHA HWY APT D6, KANEOHE, HI 96744-2060
(808) 383-4690
Mailing address
45-683 KAMEHAMEHA HWY APT D6, KANEOHE, HI 96744-2060
(808) 383-4690

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
HI

Other

Enumeration date
10/31/2022
Last updated
10/31/2022
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