Individual
SHELLA MARIE TAGUDIN VALENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
94-470 OPEHA ST, WAIPAHU, HI 96797-4516
(808) 222-5485
(808) 762-4214
Mailing address
94-470 OPEHA ST, WAIPAHU, HI 96797-4516
(808) 222-5485
(808) 762-4214
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1-190030
HI
Other
Enumeration date
05/13/2019
Last updated
01/30/2023
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