Individual
CORINNE M NEWBERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-1221 KA UKA BLVD, WAIPAHU, HI 96797-6202
(808) 292-7968
Mailing address
3032 HARDING AVE, HONOLULU, HI 96816-5864
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-122967
HI
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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