IndividualActive
Jessica Domingo
NPI 1235372939 · Nurse's Aide · Wailuku, HI
Provider details
- NPI number
- 1235372939
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- HI020901397 (HI)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1016 Laelae St
Wailuku, HI 96793-9482
Phone: (808) 244-9819
Approximate (ZIP-level) locationGet directions
Mailing address
1016 Laelae St
Wailuku, HI 96793-9482
Registry dates
- Enumerated
- 2009-04-09
- Last updated
- 2009-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.