Individual
MRS. JILL T NAGAMINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
46-169 KAMEHAMEHA HWY, KANEOHE, HI 96744-3651
(808) 784-5951
Mailing address
1092 HELE ST, KAILUA, HI 96734-3620
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT18-66856
HI
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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