Agustin, Darylle Dave Rebano

Agustin, Darylle Dave Rebano is an sole proprietor health care provider with primary practice located at 1108 Noelani St , Pearl City HI 96782-2932. He recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as his primary health care specialty. Agustin, Darylle Dave Rebano can be contacted via phone (808) 724-1338.

Contact Information

Primary practice address
1108 Noelani St Pearl City HI 96782-2932
Phone: (808) 724-1338
Fax: (808) 200-5211
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 1170030 Hawaii

Profile Details

NPI number 1982123956
LBN Legal business name Agustin, Darylle Dave Rebano
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982123956 NPPES
Hawaii MEDICAID 1170030

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