Individual
MR. NATHAN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
161 S WAKEA AVE, KAHULUI, HI 96732-1343
(808) 244-7467
Mailing address
161 S WAKEA AVE, KAHULUI, HI 96732-1343
(808) 244-7467
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
252Y00000X
HI
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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