Individual
RANDY AGBAYANI DIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
91-627 KILAHA ST APT 20, EWA BEACH, HI 96706-2673
(206) 816-9344
Mailing address
91-627 KILAHA ST APT 20, EWA BEACH, HI 96706-2673
(206) 816-9344
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
91799
HI
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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