Individual
MAEGAN CHAE ANUHEA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4041 PULAPULA PLACE, LIHUE, HI 96766
(808) 651-4413
Mailing address
4041 PULAPULA PL, LIHUE, HI 96766-1539
(808) 651-4413
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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