Individual
HELENA OTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 KAMOKILA BLVD STE 210, KAPOLEI, HI 96707-2096
(808) 591-6060
Mailing address
47-070 LIHIKAI DR APT A, KANEOHE, HI 96744-4794
(808) 940-5337
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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