Individual
JAMIELYN L FAFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4160 HOALA ST APT 5B, LIHUE, HI 96766
(808) 346-8043
Mailing address
4160 HOALA ST APT 5B, LIHUE, HI 96766-1452
(808) 346-8043
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
HI000008211
HI
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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