Individual
MAKELA SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45-955 KAMEHAMEHA HWY, KANEOHE, HI 96744-3222
(808) 247-2973
Mailing address
55-530 MOANA ST, LAIE, HI 96762-1233
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-41650
HI
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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