Individual
MS. MARY GRACE Q BAGALSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
888 S KING ST, HONOLULU, HI 96813-3097
(808) 522-4000
Mailing address
1946 YOUNG ST, SUITE 320, HONOLULU, HI 96826-2169
(808) 973-7330
(808) 973-7325
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN-62977
HI
Other
Enumeration date
01/21/2009
Last updated
01/11/2022
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