Individual
GOLOKA BERNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1221 KILAUEA AVE STE 60, HILO, HI 96720-4264
(818) 224-9736
Mailing address
1221 KILAUEA AVE STE 60, HILO, HI 96720-4264
(818) 224-9736
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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