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Individual

PROF. SHAWON SYED MUJIBOR RAHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
137 W PUAINAKO ST, HILO, HI 96720-5366
(808) 909-2099
Mailing address
137 W PUAINAKO ST, HILO, HI 96720-5366
(808) 909-2099

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
372500000X
Chore Provider
372600000X
Adult Companion
374U00000X
Home Health Aide
376K00000X
Nurse's Aide

Other

Enumeration date
11/30/2021
Last updated
11/30/2021
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