Individual
PAMELA A PETRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-132 POOHUKU WAY, WAIPAHU, HI 96797-5808
(808) 282-8758
Mailing address
17 KEPOLA PL, HONOLULU, HI 96817-5213
(808) 282-8758
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-78131
HI
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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