# ILUMINADA PERALTA DOMINGO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1235613803
- **Gender:** F
- **Credential:** CNA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3747A0650X | Attendant Care Provider | 1-100073 | HI | Yes |

## Other

- **Enumeration date:** 09/19/2018
- **Last updated:** 09/29/2026