Individual
JESSA RAE PASCUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 SALT LAKE BLVD STE D8, HONOLULU, HI 96818-3172
(808) 486-1804
(808) 486-9199
Mailing address
1306 ARTESIAN ST, HONOLULU, HI 96826-1350
(808) 772-8691
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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