Individual
CELESTE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5324 IROQUOIS AVE, EWA BEACH, HI 96706-3216
(503) 473-2478
Mailing address
5324 IROQUOIS AVE, EWA BEACH, HI 96706-3216
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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