Individual
STACEY NAGAMINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 SALT LAKE BLVD, HONOLULU, HI 96818-3153
(808) 486-1804
Mailing address
4510 SALT LAKE BLVD, HONOLULU, HI 96818-3153
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/30/2017
Last updated
12/30/2017
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