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NPI Code Detail

MEDICARE: LEI DEN JOY TUGAOEN

MEDICARE:   LEI DEN JOY  TUGAOEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse89702HI

General Provider Information

NPI Number : 1063076222
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEI DEN JOY TUGAOEN
Provider Business Mailing Address
First Line : 91-1156 PIIPII ST
Second Line :
City : EWA BEACH
State : HI
Zip : 96706-1834
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 91-1156 PIIPII ST
Second Line :
City : EWA BEACH
State : HI
Zip : 96706-1834
Country : US
Telephone Number : 808-391-6404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2019
Last Update Date : 04/23/2019

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Directions to “ LEI DEN JOY TUGAOEN ” Practice Location

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