Individual
LUIZA CANABARRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
74-5078 KUMAKANI ST, KAILUA KONA, HI 96740-1530
(808) 746-1779
Mailing address
75-5336 LAAULU RD, HOLUALOA, HI 96725-9617
(808) 217-7400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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