Individual
MRS. LACEY RAE KANAHELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4560 AKIKIKI PL., KEKAHA, HI 96752
(808) 635-0185
Mailing address
PO BOX 1222, KEKAHA, HI 96752-1222
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
08/05/2019
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