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Individual

NERIZA PANGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
94-1221 KA UKA BLVD, WAIPAHU, HI 96797-6202
(808) 292-7968
Mailing address
92-6009 NEMO ST, KAPOLEI, HI 96707-2817
(808) 426-8899

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-96976
HI

Other

Enumeration date
08/26/2019
Last updated
08/26/2019
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