Individual
EDITHA FESTEJO DOMAOAL
Active
Individual
EDITHA FESTEJO DOMAOAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
HI000013155E
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-210015
COMMUNITY CARE FOSTER FAMILY HOME CERTIFICATION NUMBER
HI
01
—
HI000013155E
CNA CERTIFICATION NUMBER
HI
Enumeration date
05/07/2021
Last updated
05/07/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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