Individual
MICAIAH JERMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1448 LILIHA ST, HONOLULU, HI 96817-3589
(808) 681-2718
Mailing address
1448 LILIHA ST, HONOLULU, HI 96817-3589
(808) 203-9737
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/27/2025
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