Individual
CHRISTIAN NOEL LARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-428 MOKUOLA ST STE 2144A, WAIPAHU, HI 96797-6300
(808) 944-2882
Mailing address
16879 MAMMOTH SPRINGS DR, HOUSTON, TX 77095-5556
(713) 431-2212
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/18/2024
Last updated
05/18/2024
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