Provider Demographics
NPI:1932566262
Name:LARAGAN, ELENA
Entity Type:Individual
Prefix:
First Name:ELENA
Middle Name:
Last Name:LARAGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44-704 PUAMOHALA ST
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-2449
Mailing Address - Country:US
Mailing Address - Phone:808-346-4821
Mailing Address - Fax:808-888-4253
Practice Address - Street 1:44-704 PUAMOHALA ST
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-2449
Practice Address - Country:US
Practice Address - Phone:808-346-4821
Practice Address - Fax:808-888-4253
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-17
Last Update Date:2016-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath