Individual
JAYSON BAGARA SALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
875 WAIMANU ST STE 612, HONOLULU, HI 96813-5267
(808) 791-6713
Mailing address
875 WAIMANU ST STE 612, HONOLULU, HI 96813-5267
(808) 791-6713
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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