Individual
KALANIKAULELEIAIWI AH LEN JARDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4359 KUKUI GROVE ST STE 102, LIHUE, HI 96766-2008
(808) 431-4655
Mailing address
316 MID VALLEY CTR # 186, CARMEL, CA 93923-8516
(808) 431-4655
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-80074
HI
Other
Enumeration date
03/14/2019
Last updated
01/01/2020
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