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Jackielyn Bautista
Nursing Home Administrator in Ewa Beach, Hawaii
NPI 1265988513

Jackielyn Bautista is a Nursing Home Administrator based in Ewa Beach, HI. Jackielyn Bautista practices in Ewa Beach, HI. The NPI Number for Jackielyn Bautista is 1265988513 and holds a License No. (Hawaii).

The current practice location address for Jackielyn Bautista is 91-843 Hanakahi St, Ewa Beach, HI and can be reached out via phone at 808-256-4379.

Location: 91-843 Hanakahi St, Ewa Beach, HI, 96706-2861
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265988513
Provider Name
Jackielyn Bautista
Credential
Provider Entity Type
Individual
Gender
Female
Address
91-843 Hanakahi St, Ewa Beach, HI, 96706-2861
Phone Number
808-256-4379
Fax Number
Provider Enumeration Date
08/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
91-843 Hanakahi St
City
Ewa Beach
State
Hawaii
Zip
96706
Phone Number
808-256-4379
Fax Number
person
Provider Business Mailing Address Details
Address
91-843 Hanakahi St
City
Ewa Beach
State
Hawaii
Zip
96706
Phone Number
808-256-4379
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Nursing Home Administrator
Speciality
-
Taxonomy
376G00000X
License No.
()
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
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