Individual
LORENA NAGBUYA GAGARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91-1178 KUPIPI PL, EWA BEACH, HI 96706-4504
(808) 381-9174
Mailing address
91-1178 KUPIPI PL, EWA BEACH, HI 96706-4504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
77385
HI
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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