Individual
INEJ TECIALI LA'ENNA CHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 KE ALA OLA RD, HONOLULU, HI 96817-1580
(801) 787-4085
Mailing address
111 KE ALA OLA RD, HONOLULU, HI 96817-1580
(801) 787-4085
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-239166
HI
Other
Enumeration date
08/26/2022
Last updated
09/13/2023
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