Individual
ANTHONY K OLIVEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(808) 944-4288
Mailing address
95-085 WAIHONU PL, MILILANI, HI 96789-3330
(808) 232-1219
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-140988
HI
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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