Individual
MICHAEL ALEXANDER GASHWYTEWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
41-1420 KUHIMANA ST, WAIMANALO, HI 96795-1220
(480) 204-4154
Mailing address
41-1420 KUHIMANA ST, WAIMANALO, HI 96795-1220
(480) 204-4154
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
686234
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9809496
—
HI
Enumeration date
11/18/2022
Last updated
11/18/2022
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