Individual
GWENDOLYN BERRISFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 HEKILI ST # A406, KAILUA, HI 96734-2800
(808) 489-3548
Mailing address
111 HEKILI ST # A406, KAILUA, HI 96734-2800
(808) 489-3548
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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