Individual
MARY JASMINE RAMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-100 KAUPU WAY, WAIPAHU, HI 96797-3867
(808) 220-0406
Mailing address
94-100 KAUPU WAY, WAIPAHU, HI 96797-3867
(808) 220-0406
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-128648
HI
Other
Enumeration date
05/21/2021
Last updated
11/10/2022
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