Individual
LISA FONG HUNSAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-1221 KA UKA BLVD, WAIPAHU, HI 96797-6202
(808) 292-7968
Mailing address
3017 ALAPALI PL, HONOLULU, HI 96815-4710
(808) 753-7885
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-198510
HI
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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