Individual
JESSIKA GALVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2854 OMAOPIO RD, KULA, HI 96790-8865
(808) 344-1285
Mailing address
PO BOX 344, MAKAWAO, HI 96768-0344
(808) 344-1285
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
HI
376K00000X
Nurse's Aide
—
HI
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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