Individual
EKATERINA FIRSOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 KALANIANAOLE HWY, KAILUA, HI 96734-4645
(808) 520-6220
Mailing address
905 KALANIANAOLE HWY SPC 5002, KAILUA, HI 96734-4669
(808) 247-2973
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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