Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1932566262 |
---|---|
Provider Name | Elena Laragan |
First Address | Kaneohe, HI 96744-2449 |
Second Address | Kaneohe, HI 96744-2449 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2016 |
Last Update Date | 17/01/2016 |