Individual
JAMIE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-428 MOKUOLA ST STE 214A, WAIPAHU, HI 96797-3396
(808) 457-2515
Mailing address
91-1451 KEAHUMOA PKWY UNIT 3704, EWA BEACH, HI 96706-5888
(808) 457-2515
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1068135
HI
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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