Marinel Kathrina Agustin

Individual provider Active NPI Durable Medical Equipment & Medical Supplies · Kapolei, HI

NPI 1124869813 · NPPES record last updated Jun 5, 2024

Key facts

NPI
1124869813
Entity type
Individual (NPI type 1)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Practice address
92-733 Paala Loop
Kapolei, HI 96707-1628
Phone
(808) 387-7832
NPI assigned
Jun 5, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X HI Yes

Addresses

Primary practice location

92-733 Paala Loop
Kapolei, HI 96707-1628

Mailing address

92-733 Paala Loop
Kapolei, HI 96707-1628
Phone (808) 387-7832

Other providers in Kapolei, HI

All providers in Kapolei, HI · Durable Medical Equipment & Medical Supplies in Hawaii

Sources for this page

Verify at the official NPI Registry.