NPI 1235613803

Iluminada Peralta Domingo, CNA

Practitioner Attendant Care Provider Waipahu, HI

Practice location

Address: 94-1177 Hoomakoa St, Waipahu, HI 96797-3723
Phone: (808) 676-5188
Fax: (808) 676-5188

Registered specialties

Attendant Care Provider Primary

Nursing Service Related Providers Taxonomy 3747A0650X Licence 1-100073 (HI)

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Registry record

NPI: 1235613803
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Sep 2018
Record last updated: 19 Sep 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.