Individual
KEELY MOANI GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
83 MAIKAI ST, HILO, HI 96720-5364
(808) 664-4401
Mailing address
15-807 KAHAKAI BLVD, PAHOA, HI 96778-9658
(831) 227-7199
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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