Individual
MAWATA O FOFANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(808) 944-2882
Mailing address
1088 BISHOP ST APT 3512, HONOLULU, HI 96813-3111
(181) 534-7468
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
01/26/2024
Last updated
02/24/2024
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