Individual
DUSTAN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
75-170 HUALALAI RD STE D212, KAILUA KONA, HI 96740-1780
(808) 359-8576
Mailing address
PO BOX 959, HONOKAA, HI 96727-0959
(808) 359-8576
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-329871
HI
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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