Individual
TANYA KAWAI BRUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
427 ALA MAKANI ST STE 100, KAHULUI, HI 96732-3571
(808) 446-9024
Mailing address
427 ALA MAKANI ST STE 100, KAHULUI, HI 96732-3571
(808) 446-9024
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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