Individual
MR. MARIO KE'OLA MACAGBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
875 WAIMANU ST, HONOLULU, HI 96813
(808) 748-9810
Mailing address
95582 KIPAPA DRIVE, MILILANI, HI 96789
(808) 748-9810
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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