Individual
ARNOLD R DOMENDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1867 E VINEYARD ST STE 2, WAILUKU, HI 96793-1847
(808) 372-0485
Mailing address
140 EAST VINEYARD ROAD #43, 105, KIHEI, HI 96753
(808) 372-0485
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-349336
HI
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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