Individual
PATRICIA BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 KILAUEA AVE STE 60, HILO, HI 96720-4264
(808) 687-0117
Mailing address
1221 KILAUEA AVE STE 60, HILO, HI 96720-4264
(808) 687-0117
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-121255
HI
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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