Individual
NADIRAH WILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N VINEYARD BLVD # A-600, HONOLULU, HI 96817-3950
(267) 808-7778
Mailing address
710 GREEN ST, HONOLULU, HI 96813-2119
(267) 808-7778
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
10/11/2024
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