Provider Demographics
NPI:1235465840
Name:GANIR, EUGINE ALBERT TRANSFIGURACION SR (CNA)
Entity Type:Individual
Prefix:MR
First Name:EUGINE ALBERT
Middle Name:TRANSFIGURACION
Last Name:GANIR
Suffix:SR
Gender:M
Credentials:CNA
Other - Prefix:MR
Other - First Name:EUGINE ALBERT
Other - Middle Name:TRANFIGURACION
Other - Last Name:GANIR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CNA
Mailing Address - Street 1:1527 MEYERS ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-2514
Mailing Address - Country:US
Mailing Address - Phone:808-845-1450
Mailing Address - Fax:808-845-1782
Practice Address - Street 1:1527 MEYERS ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-2514
Practice Address - Country:US
Practice Address - Phone:808-845-1450
Practice Address - Fax:808-845-1782
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI126595301199E376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide