Individual
KINA HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95-311 IKALOA PL, MILILANI, HI 96789-1334
(808) 639-4047
Mailing address
95-311 IKALOA PL, MILILANI, HI 96789-1334
(808) 639-4047
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-182666
HI
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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