Individual
MRS. SHYLA ANN NICOLE DELOS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91-1180 MIDWAY RD, KAPOLEI, HI 96707
(808) 206-1569
Mailing address
PO BOX 75296, KAPOLEI, HI 96707-0296
(808) 206-1569
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-269997
HI
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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