Individual
DAVID LEE GALLARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(808) 944-2882
Mailing address
45-021 LILIPUNA PL APT B-2, KANEOHE, HI 96744-3016
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-156146
HI
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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