NPI 1265988513
Jackielyn Bautista
Practice location
- Address
- 91-843 Hanakahi St, Ewa Beach, HI 96706
- Phone
- (808) 256-4379
- Mailing address
- 91-843 Hanakahi St, Ewa Beach, HI 96706-2861
Registered specialties
Nursing Home Administrator
Primary
Registry record
- NPI
- 1265988513
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Aug 2016
- Record last updated
- 28 Aug 2016
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.