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Organization

PAKOLEA SUPPORT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LA REINA M KAMALANI (ADMIN OF CLINICAL OP/CO FOUNDER)
(808) 346-6690
Entity
Organization

Contact information

Practice address
1895 HALEUKANA ST, LIHUE, HI 96766-9072
(808) 346-6690
(888) 841-0904
Mailing address
4151 MOMI ST, KILAUEA, HI 96754-5312
(808) 639-5896

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
10/27/2020
Last updated
01/19/2022
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