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Organization
MALAMA OHANA GROUP, LLC
Active
Organization
MALAMA OHANA GROUP, LLC
Active
Other names
AKAMAI' SENIOR OPTIONS
Organization subpart
No
Provider details
NPI number
Authorized official
GLADIOLI ESPIRITU DAUZ R.N. (RESIDENT AGENT)
(702) 480-4132
Entity
Organization
Contact information
Practice address
4024 PERFECT LURE ST, LAS VEGAS, NV 89129-6089
(702) 480-4132
Mailing address
4024 PERFECT LURE ST, LAS VEGAS, NV 89129
(702) 480-4132
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
4881-BPR-0
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4881-BPR-0
STATE OF NEVADA DEPARTMENT OF HEALTH- BLC
NV
Enumeration date
09/24/2008
Last updated
09/24/2008
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