Individual
GRACE LYNN OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1438 LILIHA ST APT 311, HONOLULU, HI 96817-6111
(808) 721-2066
Mailing address
1438 LILIHA ST APT 311, HONOLULU, HI 96817-6111
(808) 721-2066
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/06/2023
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