Individual
TIAREMARIE KUUIPO ANGUAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15-352 KAHAKAI BLVD, PAHOA, HI 96778-8909
(808) 721-7613
Mailing address
15-352 KAHAKAI BLVD, PAHOA, HI 96778-8909
(808) 721-7613
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-137982
HI
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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