Individual
MAEGAN DIOQUINO FAGARAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1390 MILLER ST, HONOLULU, HI 96813-2493
(808) 586-4997
Mailing address
94-1075 HAALAU ST, WAIPAHU, HI 96797-4540
(808) 304-6659
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
172A00000X
Driver
H01437407
HI
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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