Individual
GABRIELLE DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74-5078 KUMAKANI ST, KAILUA KONA, HI 96740-1530
(808) 746-1779
Mailing address
78-6866 PALEKANA RD, HOLUALOA, HI 96725-8786
(734) 578-6900
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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