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Individual

KAYLA MANA O'LANA GARO ONGOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
91-1841 FORT WEAVER RD, EWA BEACH, HI 96706-1909
(808) 681-3500
Mailing address
91-1017 KAIOHEE ST, EWA BEACH, HI 96706-5079
(808) 954-0393

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
XLHR000080869456
HMSA
HI
Enumeration date
05/06/2021
Last updated
05/06/2021
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