Individual
MRS. REVELYN DOMINGSIL JACINTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRIMARY CAREGIVER
Contact information
Practice address
94-913 KAHUAILANI ST, WAIPAHU, HI 96797-3326
(808) 671-2605
(808) 671-2603
Mailing address
94-913 KAHUAILANI ST, WAIPAHU, HI 96797-3326
(808) 671-2605
(808) 671-2603
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
HI110118067
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-150047
PRIMARY CAREGIVER
HI
01
—
H01270651
DRIVERS LICENSE
HI
Enumeration date
10/09/2015
Last updated
10/09/2015
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