Individual
MISS TANYA LYNN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 KAPAA QUARRY PL., 5002, KAILUA, HI 96734
(808) 247-2973
Mailing address
203 KAPAA QUARRY PLACE, #5002, KAILUA, HI 96873
(808) 741-2232
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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