Individual
MIKA TANAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5578 PIA ST, HONOLULU, HI 96821-2025
(808) 763-0605
Mailing address
5578 PIA ST, HONOLULU, HI 96821-2025
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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