Individual
MRS. ROBYN JILL CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 SALT LAKE BLVD STE D8, HONOLULU, HI 96818-3172
(808) 486-1804
Mailing address
4150 SALT LAKE BLVD, D-8, HONOLULU, HI 96818
(808) 486-1804
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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