Individual
MRS. MANDY JIMENEZ CASIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
234 WAIANUENUE AVE STE 215, HILO, HI 96720-2418
(808) 935-7949
(808) 935-9700
Mailing address
PO BOX 318, PAPAIKOU, HI 96781-0318
(808) 640-7038
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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