Individual
PAMELA WALENCEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65-1279 KAWAIHAE RD, STE 208, KAMUELA, HI 96743-8444
(808) 991-6070
Mailing address
65-1279 KAWAIHAE RD, STE 208, KAMUELA, HI 96743-8444
(808) 991-6070
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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