Individual
KATHERINE ANNE VONGPHRACHANH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
98-360 KOAUKA LOOP APT 220, AIEA, HI 96701-4421
(267) 565-7448
Mailing address
98-360 KOAUKA LOOP APT 220, AIEA, HI 96701-4421
(267) 565-7448
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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