Individual
KEILA RENEE K ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2042 COYNE ST, HONOLULU, HI 96826-1333
(808) 384-8727
Mailing address
2042 COYNE ST, HONOLULU, HI 96826-1333
(808) 384-8727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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