Individual
RICHARD AGENTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1178 KINOOLE ST, HILO, HI 96720-7206
(808) 934-3246
(808) 961-4909
Mailing address
1178 KINOOLE ST, HILO, HI 96720-7206
(808) 934-3246
(808) 961-4909
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
49135
HI
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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