Individual
CHANTELLE LEI PASCUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 KUNEHI ST APT 206, KAPOLEI, HI 96707-2069
(808) 674-6641
Mailing address
1600 KAPIOLANI BLVD STE 524, HONOLULU, HI 96814-3805
(808) 369-0796
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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