Individual
CYD LEIMOMI SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
64-5255 KALAE PL, KAMUELA, HI 96743-8101
(808) 796-0528
Mailing address
PO BOX 1886, HONOKAA, HI 96727-1831
(808) 796-0528
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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