Individual
MORIAH DEANNE TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1390 MILLER ST, HONOLULU, HI 96813-2493
(510) 912-3217
Mailing address
1356 WILHELMINA RISE, HONOLULU, HI 96816-3221
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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