Individual
NATHANIEL KEANU LOCKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(808) 944-2822
Mailing address
2730 KAAHA ST APT 101, HONOLULU, HI 96826-4757
(808) 542-3701
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-138037
HI
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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