LIZZELLE K BRUCE-TAVARES

HONOLULU, HI
NPI1760128193
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: HI  780052)
Enumeration Date2022-05-09
Last Update Date2022-05-09
Business Address
LIZZELLE K BRUCE-TAVARES
1917 COLBURN ST
HONOLULU, HI 96819-3248
Phone number: 808-393-9826
Mailing Address
LIZZELLE K BRUCE-TAVARES
1917 COLBURN ST
HONOLULU, HI 96819-3248
Phone number: 808-393-9826
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