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NPI 1366798019

IndividualActive

Jessie Villanueva, PRIMARY CAREGIVER

NPI 1366798019 · Nurse's Aide · Waipahu, HI

Provider details

NPI number: 1366798019
Entity type: Individual
Primary specialty: Nurse's AideNursing Service Related Providers
Credential: PRIMARY CAREGIVER
Sex: Male
Sole proprietor: Yes
License: HI081013513 (HI)

Practice location

94-326 Hene St

Waipahu, HI 96797-1301

Phone: (808) 676-9418

Fax: (808) 676-9418

More HI providers

Mailing address

94-326 Hene St

Waipahu, HI 96797-1301

Registry dates

Enumerated: 2012-07-31
Last updated: 2012-07-31

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jessie Villanueva, PRIMARY CAREGIVER — NPI 1366798019, Waipahu, HI | NPI Central