Individual
SERENA LACHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16-2049 VANDA DR, PAHOA, HI 96778-7792
(877) 584-6227
(808) 356-1310
Mailing address
7192 KALANIANAOLE HWY STE A143A, HONOLULU, HI 96825-1849
(877) 584-6227
(808) 356-1310
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-237059
HI
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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