Individual
KEVIN LEE JASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
710 PALEKAUA ST, HONOLULU, HI 96816-4755
(808) 780-0014
Mailing address
1458 HUNAKAI ST APT 4, HONOLULU, HI 96816-5512
(808) 258-3820
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
09/06/2022
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