Individual
SHYONNA VIVIAN LANDRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 HULI RD, KILAUEA, HI 96754-5565
(808) 292-7968
Mailing address
2833 KEAMA PL, HONOLULU, HI 96822-1827
(541) 852-1091
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-398018
HI
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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