Individual
SAM WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2651 KUILEI ST APT B106, HONOLULU, HI 96826-3261
(808) 979-6562
Mailing address
2651 KUILEI ST APT B106, HONOLULU, HI 96826-3261
(808) 979-6562
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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