Individual
JERRI-LYNN UTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 KAPAA QUARRY PL, #5002, KAILUA, HI 96734
(808) 247-2973
Mailing address
359 N VINEYARD BLVD APT 108, HONOLULU, HI 96817-3659
(808) 782-8873
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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