Individual
ILIANA MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45-955 KAMEHAMEHA HWY # 404-405, KANEOHE, HI 96744-3222
(808) 247-2973
Mailing address
45-955 KAMEHAMEHA HWY # 404405, KANEOHE, HI 96744-3222
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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