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Nina Myra Badua, CNA

Custodial Care Facility, Adult Care Home in Ewa Beach, HI. Individual provider (NPI-1).

NPI number1144827148
StatusActive
Last updated in NPPESOct 3, 2020

Details

NPI
1144827148
Entity type
Individual (NPI-1)
Name
Nina Myra Badua
Credential
CNA
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 3, 2020
Certification date
Oct 3, 2020
Last updated
Oct 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
311ZA0620X Custodial Care Facility, Adult Care Home1-190044HIYes

Practice location

91-1307 Maliko St
Ewa Beach, HI 96706-1809

Phone 808-729-6560 · Fax 808-681-3383

Mailing address

91-1307 Maliko St
Ewa Beach, HI 96706-1809

Phone 808-729-6560 · Fax 808-681-3383

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