Individual
JEE EUN PARK YASUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15-2714 PAHOA VILLAGE RD STE H1-285, PAHOA, HI 96778-9715
(855) 832-6727
Mailing address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
03/01/2025
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