Individual
JOYCE I AGUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAREGIVER
Contact information
Practice address
99-150 HOLO PL, AIEA, HI 96701-5407
(808) 284-2496
Mailing address
99-150 HOLO PL, AIEA, HI 96701-5407
(808) 284-2496
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-170076
CTA/DOH
HI
Enumeration date
05/01/2020
Last updated
05/01/2020
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