Individual
MRS. LILA PAGTULINGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
91-1056 NIOLO ST, EWA BEACH, HI 96706-5117
(808) 371-0431
Mailing address
91-1056 NIOLO ST, EWA BEACH, HI 96706-5117
(808) 371-0431
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
31400000X
HI
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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