Individual
LEA F AGONOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91-968 WAIHUA PL, EWA BEACH, HI 96706-1866
(808) 304-7607
Mailing address
91-968 WAIHUA PL, EWA BEACH, HI 96706-1866
(808) 304-7607
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
75018
HI
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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