Individual
STEPHANIE ANNA HATAKEYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 HULI RD, KILAUEA, HI 96754-5565
(808) 292-7968
Mailing address
95-254 HAKUPOKANO LOOP, MILILANI, HI 96789-1302
(808) 492-0278
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-330490
HI
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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