Camp Bullard

NPI 1033930441 · on the registry since 2024

Practice

Address: 203 Kapaa Quarry Pl
Kailua, HI 96734
Phone: (808) 247-2973
Organisation at this address: Holding Space Inc.
Maikai Pharmacy Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 84

Registry record

Primary taxonomy: Behavior Technician
106S00000X
Licence states on file: HI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-10-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii