Individual
MS. JILL LUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41-611 INOAOLE ST, WAIMANALO, HI 96795-1211
(808) 892-4059
Mailing address
41-640 MAHAILUA ST UNIT D, WAIMANALO, HI 96795-1166
(808) 286-6269
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-94327
HI
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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