Individual
MANA GRACE BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91-1180 MIDWAY RD, KAPOLEI, HI 96707
(808) 682-5496
Mailing address
836B 11TH AVE, HONOLULU, HI 96816-6410
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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