Individual
JENSEN LEONAKA KEOKI KALUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4510 SALT LAKE BLVD, HONOLULU, HI 96818-3153
(808) 486-1804
(808) 486-9199
Mailing address
4510 SALT LAKE BLVD, HONOLULU, HI 96818-3153
(808) 486-1804
(808) 486-9199
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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