Individual
KIERRA TIANN WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 KAMOKILA BLVD BLDG SUITE133, KAPOLEI, HI 96707-2014
(808) 800-1195
Mailing address
550 KUNEHI ST APT 206, KAPOLEI, HI 96707-2069
(808) 674-6641
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-88653
HI
Other
Enumeration date
06/24/2019
Last updated
12/30/2024
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