Individual
NORMA JEAN BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 AOLOA ST APT H105, KAILUA, HI 96734-3045
(854) 206-9840
Mailing address
355 AOLOA ST APT H105, KAILUA, HI 96734-3045
(854) 206-9840
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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