Individual
JOSE WILLARS HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4133 PUAOLE ST, LIHUE, HI 96766-1409
(435) 220-0625
Mailing address
4133 PUAOLE ST, LIHUE, HI 96766-1409
(435) 220-0625
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
HI
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
07/21/2017
Last updated
07/21/2017
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