Individual
JOHNNY SUANI-FAAFIA TUIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 KAMOKILA BLVD STE 210, KAPOLEI, HI 96707-2096
(808) 591-6060
Mailing address
94-1140 ELEU ST, WAIPAHU, HI 96797-4720
(808) 364-2685
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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