Individual
CHARLENE DICHOSO DOMINGO-YAMAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., M.AC.O.M.
Contact information
Practice address
1750 KALAKAUA AVE, SUITE 808, HONOLULU, HI 96826-3766
(808) 589-6937
Mailing address
9159 W DESERT INN RD APT J104, LAS VEGAS, NV 89117-6372
(808) 554-3257
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT2888
NV
Other
Enumeration date
11/07/2008
Last updated
10/26/2022
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