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NPI Code Detail

MEDICARE: VANESSA LIN NAGAMINE

MEDICARE: VANESSA LIN NAGAMINE
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1952194177
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA LIN NAGAMINE
Provider Business Mailing Address
First Line : 91-1768 PUALOALO PL
Second Line :
City : EWA BEACH
State : HI
Zip : 96706-3640
Country : US
Telephone Number : 808-989-2063
Fax Number :
Provider Business Practice Location Address
First Line : 91-1768 PUALOALO PL
Second Line :
City : EWA BEACH
State : HI
Zip : 96706-3640
Country : US
Telephone Number : 808-989-2063
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2025
Last Update Date : 05/28/2025

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Directions to “ VANESSA LIN NAGAMINE ” Practice Location

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