Individual
ELSIE M LABAYOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-1405 WAIPAHU ST, WAIPAHU, HI 96797-3558
(808) 677-4053
Mailing address
94-1405 WAIPAHU ST, WAIPAHU, HI 96797-3558
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
W00897384
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
563272
—
HI
Enumeration date
09/26/2012
Last updated
09/26/2012
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