Individual
DARYLLE DAVE REBANO AGUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1108 NOELANI ST, PEARL CITY, HI 96782-2932
(808) 724-1338
(808) 200-5211
Mailing address
1108 NOELANI ST, PEARL CITY, HI 96782-2932
(808) 724-1338
(808) 200-5211
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1170030
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1170030
—
HI
Enumeration date
09/11/2017
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us