Individual
ASHLEY GRACE WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 WILIWILI ST, HONOLULU, HI 96826-4120
(808) 489-4662
Mailing address
740 WILIWILI ST, HONOLULU, HI 96826-4120
(808) 489-4662
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
834390
HI
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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