Individual
KA'IULANI AI TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 KUPUOHI ST, LAHAINA, HI 96761-2701
(808) 446-4448
Mailing address
40 KUPUOHI ST, LAHAINA, HI 96761-2701
(808) 446-4561
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
238758635277
HI
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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