Individual
KANOE HANALE KELIIKULI-GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46-135 NAHEWAI PL, KANEOHE, HI 96744-4155
(808) 636-7933
Mailing address
46-135 NAHEWAI PL, KANEOHE, HI 96744-4155
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XLPR000022314660
HMSA
—
Enumeration date
02/26/2019
Last updated
05/19/2022
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