Individual
NATHAN RAGODOS NAGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-119 POOLAU WAY, WAIPAHU, HI 96797-5807
(808) 517-1903
Mailing address
550 KUNEHI ST APT 206, KAPOLEI, HI 96707-2069
(808) 674-6641
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-309010
HI
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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