Individual
DHELSY ANNE INGUILLO JATICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 KAMOKILA BLVD STE 210, KAPOLEI, HI 96707-2096
(808) 591-6060
Mailing address
91-219 KEKEPANIA PL, KAPOLEI, HI 96707-3053
(808) 339-6741
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-421794
HI
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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