Individual
MRS. MARIVYN AURELIO CASINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.A
Contact information
Practice address
91-1035 OPAEHUNA ST, EWA BEACH, HI 96706-3566
(808) 677-5805
(808) 671-5591
Mailing address
91-1035 OPAEHUNA ST, EWA BEACH, HI 96706-3566
(808) 677-5805
(808) 671-5591
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
121917970690F
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
512378
—
HI
Enumeration date
01/30/2007
Last updated
07/09/2007
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