Individual
MRS. JENNA LYNN GOODSPEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 WARD AVE, HONOLULU, HI 96814-4008
(808) 585-1424
Mailing address
210 WARD AVE, HONOLULU, HI 96814-4008
(808) 585-1424
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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