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Individual

ANDREA PRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
78-6585 MAMALAHOA HIGHWAY, HOLUALOA, HI 96725
(808) 824-2884
Mailing address
7192 KALANIANAOLE HWY STE A143A, HONOLULU, HI 96825-1849
(808) 824-2884

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-109543
HI

Other

Enumeration date
01/16/2020
Last updated
01/16/2020
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