Individual
SAUAFIAFI LISA TOEFILIGA TYRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(909) 944-2882
Mailing address
86-143 PUHANO ST, WAIANAE, HI 96792-3023
(808) 554-3294
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-157389
HI
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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