Provider Demographics
NPI:1457116550
Name:GASMEN, JOVELYN ALIADO (RN)
Entity Type:Individual
Prefix:
First Name:JOVELYN
Middle Name:ALIADO
Last Name:GASMEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-543 HIAHIA LOOP
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3813
Mailing Address - Country:US
Mailing Address - Phone:808-393-0068
Mailing Address - Fax:
Practice Address - Street 1:94-543 HIAHIA LOOP
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-3813
Practice Address - Country:US
Practice Address - Phone:808-393-0068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency