Provider Demographics
NPI:1750577565
Name:JORNACION, ROMERA ARANQUEZ
Entity type:Individual
Prefix:MRS
First Name:ROMERA
Middle Name:ARANQUEZ
Last Name:JORNACION
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-983 IKULANI ST
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-2207
Mailing Address - Country:US
Mailing Address - Phone:808-218-1859
Mailing Address - Fax:808-689-5031
Practice Address - Street 1:91-983 IKULANI ST
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-2207
Practice Address - Country:US
Practice Address - Phone:808-218-1859
Practice Address - Fax:808-689-5031
Is Sole Proprietor?:No
Enumeration Date:2007-09-15
Last Update Date:2007-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIE090128985031376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide