Individual
CASSENDRALYN RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7012 KAMILO ST, HONOLULU, HI 96825-1607
(808) 824-2884
Mailing address
7192 KALANIANAOLE HWY STE A143A, HONOLULU, HI 96825-1849
(808) 824-2884
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-128500
HI
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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