Individual
JACQUELYN AURORA REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(808) 944-2882
Mailing address
95-035 KAHOEA ST APT 221, MILILANI, HI 96789-1560
(808) 636-7467
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
16759013462566634355
HI
Other
Enumeration date
02/10/2023
Last updated
02/15/2023
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