Provider Demographics
NPI:1053570150
Name:DAGUIO, ERIC A (ERIC DAGUIO)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:A
Last Name:DAGUIO
Suffix:
Gender:M
Credentials:ERIC DAGUIO
Other - Prefix:MR
Other - First Name:ERIC
Other - Middle Name:A
Other - Last Name:DAGUIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ERIC DAGUIO
Mailing Address - Street 1:94-1306 HUAKAI ST
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3839
Mailing Address - Country:US
Mailing Address - Phone:808-224-4196
Mailing Address - Fax:
Practice Address - Street 1:94-1306 HUAKAI ST
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-3839
Practice Address - Country:US
Practice Address - Phone:808-224-4196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI4675225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist