Individual
DONNA Y KAKAZU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 22ND AVE RM 127, HONOLULU, HI 96816-4400
(808) 305-9787
Mailing address
475 22ND AVE RM 127, HONOLULU, HI 96816-4400
(808) 305-9787
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-165722
HI
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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