Individual
BENJAMIN AGLUGUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 KUNEHI ST APT 205, KAPOLEI, HI 96707-2069
(808) 354-4425
Mailing address
91-1012 KANEHOALANI ST APT A, KAPOLEI, HI 96707-3060
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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