Individual
MR. GARY MABAHIN ABEGONIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTER NURSE
Contact information
Practice address
94-216 FARRINGTON HIIGHWAY, SUITE B102, WAIPAHU, HI 96797
(808) 381-7721
Mailing address
92-831 MAKAKILO DRIVE, APT 14, KAPOLEI, HI 96707
(808) 381-7721
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
89236
HI
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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