Individual
WENDY NITTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
706 E N ST, NOME, AK 99762
(907) 434-1523
Mailing address
1144 2ND AVE APT C, HONOLULU, HI 96816-5848
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/17/2019
Last updated
03/27/2024
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