Individual
KEILAH IMAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 SALT LAKE BLVD, HONOLULU, HI 96818-3153
(808) 597-1711
Mailing address
1359 KAWELOKA ST, PEARL CITY, HI 96782-1940
(808) 387-4108
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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