Individual
ILUMINADA MORIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA; PBT(ASCP)CM
Contact information
Practice address
94-079 WAIKELE LOOP, WAIPAHU, HI 96797-2641
(808) 686-9399
(888) 486-4191
Mailing address
94-079 WAIKELE LOOP, WAIPAHU, HI 96797-2641
(808) 686-9399
(888) 486-4191
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HCBS 09-
HI
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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