Individual
KELLY YVONNE CARRANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 KALANIANAOLE HWY SPC 5001, KAILUA, HI 96734-4669
(808) 247-2973
Mailing address
905 KALANIANAOLE HWY SPC 5001, KAILUA, HI 96734-4669
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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