Individual
SHAVANA KUUIPO LYNN SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 KUNEHI ST APT 206, KAPOLEI, HI 96707-2069
(808) 674-6641
Mailing address
757 GULICK AVE APT 5, HONOLULU, HI 96819-3339
(808) 425-1238
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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