Individual
ERICA FANTONIA BAYSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(808) 944-2882
Mailing address
91-1125 OLOWA ST, EWA BEACH, HI 96706-5639
(808) 343-6218
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/08/2024
Last updated
06/08/2024
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