Provider Demographics
NPI:1619291937
Name:SABALBERINO, DELIA ABULENCIA (LMT)
Entity Type:Individual
Prefix:MISS
First Name:DELIA
Middle Name:ABULENCIA
Last Name:SABALBERINO
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-366 PUPUPANI ST STE 209B
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-2660
Mailing Address - Country:US
Mailing Address - Phone:808-680-0015
Mailing Address - Fax:808-680-0015
Practice Address - Street 1:94-366 PUPUPANI ST STE 209B
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-2660
Practice Address - Country:US
Practice Address - Phone:808-680-0015
Practice Address - Fax:808-680-0015
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI11635172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker