Individual
MR. ALEC DREW DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 KAPAA QUARRY PL #5002, KAILUA, HI 96734
(434) 960-7269
Mailing address
1177 AKAMAI ST, KAILUA, HI 96734-4034
(434) 960-7269
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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