Individual
EVANGELINE AGONIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ETC
Contact information
Practice address
94-1135 AWALAI ST, WAIPAHU, HI 96797-3234
(808) 726-7378
(808) 367-1413
Mailing address
94-1135 AWALAI ST, WAIPAHU, HI 96797-3234
(808) 726-7378
(808) 367-1413
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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