Healthcare Provider Details

I. General information

NPI: 1760024970
Provider Name (Legal Business Name): ZOE MARGARET BLANCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2019
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2226 LILIHA ST STE 403
HONOLULU HI
96817-1605
US

IV. Provider business mailing address

1653 CITRON ST APT 1
HONOLULU HI
96826-2510
US

V. Phone/Fax

Practice location:
  • Phone: 949-690-1984
  • Fax:
Mailing address:
  • Phone: 949-690-1984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBA-1081-0
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: