Individual
VICKY BAGAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-1381 HIAAI PL, WAIPAHU, HI 96797-3809
(808) 671-7308
Mailing address
94-1381 HIAAI PL, WAIPAHU, HI 96797-3809
(808) 671-7308
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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