Individual
JEANELL CORPUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1917 COLBURN ST, HONOLULU, HI 96819-3248
(808) 393-9826
Mailing address
1519 KAUMUALII ST APT 319, HONOLULU, HI 96817-4846
(808) 797-0697
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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