Individual
MR. JONATHAN CANTORNA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
214 WAIANUENUE AVE STE 103, HILO, HI 96720-2489
(808) 961-7016
Mailing address
214 WAIANUENUE AVE STE 103, HILO, HI 96720-2489
(808) 961-7016
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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