Individual
MRS. MELISSA DENISE THERIAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2649 IPU WAI LN, WAHIAWA, HI 96786-7004
(931) 538-5587
Mailing address
2003 S EASTON RD, DOYLESTOWN, PA 18901-7100
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
06/18/2022
Last updated
05/08/2023
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