Individual
JEFFREY DAVID AZZALINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 KEAHOLE PL APT 3505, HONOLULU, HI 96825-3425
(808) 200-5134
Mailing address
1 KEAHOLE PL APT 3505, HONOLULU, HI 96825-3425
(808) 200-5134
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
02/28/2021
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