Individual
GABRIELLE GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41-611 INOAOLE ST, WAIMANALO, HI 96795-1211
(808) 892-4059
Mailing address
1315 HALOA DR, HONOLULU, HI 96818-1907
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB609560
HI
Other
Enumeration date
09/17/2020
Last updated
09/21/2020
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