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Individual

SHANTEL ARICAYOS-VASSALLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
70 S KAMEHAMEHA HWY, WAHIAWA, HI 96786-1856
(808) 436-1776
Mailing address
94-309 APELE, MILILANI, HI 96789
(808) 436-1776

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
549
HI
103K00000X
Behavior Analyst
Primary
444
HI

Other

Enumeration date
12/21/2020
Last updated
12/21/2020
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