Individual
MARIBELLE AGUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91-949 IKULANI ST, EWA BEACH, HI 96706-2207
(808) 744-8510
(808) 744-8510
Mailing address
91-949 IKULANI ST, EWA BEACH, HI 96706-2207
(808) 744-8510
(808) 744-8510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-72628
HI
Other
Enumeration date
11/26/2015
Last updated
11/26/2015
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