Individual
MR. NICASIO PAGUIO GATDULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
VICE PRESIDENT
Contact information
Practice address
64 KEAWE ST STE 306, HILO, HI 96720-2486
(808) 215-7820
(808) 215-7819
Mailing address
PO BOX 10119, HILO, HI 96721-5119
(808) 215-7820
(808) 215-7819
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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