Individual
ANGELA OGATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 KINOOLE ST, HILO, HI 96720-5034
(808) 935-7091
Mailing address
1410 KINOOLE ST, HILO, HI 96720-5034
(808) 935-7091
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
000000000
HI
Other
Enumeration date
01/01/2014
Last updated
01/01/2014
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