Individual
MR. ROY KAIKALANI NITAHARA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
91-1005 KANIO ST, KAPOLEI, HI 96707-3222
(808) 913-8774
Mailing address
91-1005 KANIO ST, KAPOLEI, HI 96707-3222
(808) 913-8774
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1168740
HI
Other
Enumeration date
02/11/2025
Last updated
02/12/2025
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