Individual
KESIAH ANGELINA CASTELLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1390 MILLER ST, HONOLULU, HI 96813-2493
(808) 784-6200
Mailing address
5777A ERNE AVE, EWA BEACH, HI 96706-3255
(808) 753-3602
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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