Individual
MILAGROS DOMINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 GULICK AVE, HONOLULU, HI 96819-4214
(808) 845-6429
Mailing address
1900 GULICK AVE, HONOLULU, HI 96819-4214
(808) 845-6429
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
H1020405841
HI
Other
Enumeration date
11/07/2020
Last updated
11/07/2020
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