Individual
MICHAEL FREISTAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2680 WAI WAI PL, KIHEI, HI 96753-8178
(808) 575-2459
Mailing address
2680 WAI WAI PL, KIHEI, HI 96753-8178
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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