Individual
MR. BONY RAGUIRAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-1001 AWAIKI ST, WAIPAHU, HI 96797-3218
(808) 741-0271
(808) 353-3611
Mailing address
94-1001 AWAIKI ST, WAIPAHU, HI 96797-3218
(808) 741-0271
(808) 353-3611
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
H01028739
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H01028739
HI LICENSE
HI
01
—
PUC-307C
PUC LICENSE
HI
Enumeration date
04/28/2015
Last updated
04/28/2015
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