Individual
KEVIN FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 KUNEHI ST APT 206, KAPOLEI, HI 96707-2069
(808) 674-6641
Mailing address
1329 DOMINIS ST APT C, HONOLULU, HI 96822-5511
(360) 540-3718
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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