Individual
KAI OMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-1221 KA UKA BLVD, UNIT 108, #167, WAIPAHU, HI 96797
(808) 292-7968
Mailing address
92-1300 KIKAHA ST APT 82, KAPOLEI, HI 96707-1565
(808) 387-0070
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-15-10771
HI
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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