Individual
KEYSHAWNA MISHAY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1390 MILLER ST, HONOLULU, HI 96813-2493
(757) 994-8660
Mailing address
HAWAII DOE, 1390 MILLER ST, HONOLULU, HI 96813
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
10/04/2023
Last updated
10/27/2023
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