Individual
KENTON J MEJIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1094 KUMUKOA ST, HILO, HI 96720-4030
(808) 289-2389
Mailing address
1094 KUMUKOA ST, HILO, HI 96720-4030
(808) 289-2389
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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