Individual
KALA KA HEI C MASING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-1059 LUMI ST, WAIPAHU, HI 96797-3904
(808) 222-5373
Mailing address
94-1059 LUMI ST, WAIPAHU, HI 96797-3904
(808) 222-5373
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XLQ0000862780
—
HI
Enumeration date
11/25/2019
Last updated
11/25/2019
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