Individual
MARTINA CAMPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
92-1235 PANANA ST APT 30, KAPOLEI, HI 96707-1403
(808) 782-6354
Mailing address
92-1235 PANANA ST APT 30, KAPOLEI, HI 96707-1403
(808) 782-6354
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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