Individual
MRS. NASTASSIA RENEE HATEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
1100 ALAKEA ST, HONOLULU, HI 96813-2833
(808) 523-7771
(808) 523-1997
Mailing address
2896 KUMAKALII ST, WAHIAWA, HI 96786-7061
(504) 292-1509
(504) 292-1509
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/17/2018
Last updated
03/17/2018
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