Individual
MR. EARVIN MAGIC LEIATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1330 ALA MOANA BLVD STE 1, HONOLULU, HI 96814-4262
(808) 304-9067
Mailing address
780 MAHIAI ST APT 5, HONOLULU, HI 96826-5632
(808) 304-9067
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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