Individual
JEFFREY VALENCIA DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2670 KALIHI ST, HONOLULU, HI 96819-2808
(808) 382-1254
Mailing address
2670 KALIHI ST, HONOLULU, HI 96819-2808
(808) 382-1254
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN-88107
HI
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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