Individual
CHANTELLE KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3122 KUHIO HWY, LIHUE, HI 96766
(808) 245-9118
Mailing address
4584 LAUKONA ST, LIHUE, HI 96766
(808) 631-1956
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
H00415368
HI
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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