Individual
AHOLOTU A FAFINE MALIUKAETAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16018 42ND AVE S, TUKWILA, WA 98188-3011
(510) 586-5914
Mailing address
16018 42ND AVE S, TUKWILA, WA 98188-3011
(510) 586-5914
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHS.FS.61612193
WA
374U00000X
Home Health Aide
IHS.FS.61612193
WA
Other
Enumeration date
03/03/2025
Last updated
03/04/2025
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