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Individual

MISS MINKA LEE NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7253 KAMEHAMEHA V HWY # 450, KAUNAKAKAI, HI 96748-6053
(808) 774-8400
Mailing address
8900 KAMEHAMEHA V HWY # 450, KAUNAKAKAI, HI 96748-6007
(831) 252-0928

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-421201
HI

Other

Enumeration date
07/03/2025
Last updated
07/03/2025
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