Individual
MRS. BESSIE MAE BETHANY STAR ERTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 PIIKOI ST, HONOLULU, HI 96814-3116
(808) 591-6068
Mailing address
3002 GLEN COVE LN, KAILUA, HI 96734-4771
(904) 909-1600
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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