Individual
JOHN DAVID ALLEN SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
905 KALANIANAOLE HWY SPC 5001, KAILUA, HI 96734-4669
(808) 247-2973
Mailing address
44-103E PUUOHALAI PL, KANE'OHE, HI 96744
(918) 886-2980
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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