Individual
CHEERFUL SUBIDO MALANOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 KALALA ST, WAHIAWA, HI 96786-2622
(808) 745-7366
Mailing address
25 KALALA ST, WAHIAWA, HI 96786-2622
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
251J00000X
Nursing Care Agency
RN-115968
HI
3747P1801X
Personal Care Attendant
Primary
RN-115968
HI
Other
Enumeration date
03/28/2019
Last updated
01/24/2026
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