Individual
TAMA SIVAATASI MAMEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-539 PUAHI ST, WAIPAHU, HI 96797-6200
(808) 591-6060
Mailing address
94-1170 MOHALU ST, WAIPAHU, HI 96797-4113
(808) 681-2092
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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