Bautista, Jackielyn

Bautista, Jackielyn is an sole proprietor health care provider with primary practice located at 91-843 Hanakahi St , Ewa Beach HI 96706. She recently has only one registered license in Nursing Service Related Providers / Nursing Home Administrator, which is considered as her primary health care specialty. Bautista, Jackielyn can be contacted via phone (808) 256-4379.

Contact Information

Primary practice address
91-843 Hanakahi St Ewa Beach HI 96706
Phone: (808) 256-4379
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nursing Home Administrator 376G00000X

Profile Details

NPI number 1265988513
LBN Legal business name Bautista, Jackielyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2016
Last updated Aug 28th, 2016 - about 8 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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