Healthcare Provider Details

I. General information

NPI: 1629584933
Provider Name (Legal Business Name): PRECIOUS YASAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2017
Last Update Date: 07/12/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 WAWE PL
HONOLULU HI
96818-1943
US

IV. Provider business mailing address

1303 WAWE PL
HONOLULU HI
96818-1943
US

V. Phone/Fax

Practice location:
  • Phone: 808-203-9906
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: