Individual
MADISON LYNN MERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 KANEOHE BAY DR UNIT 211212, KAILUA, HI 96734-1727
(808) 388-1683
Mailing address
642 PEPEEKEO ST, HONOLULU, HI 96825-1117
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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