Individual
MAKEILA KAWAILANI LUTALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1355 S HILL ST, LOS ANGELES, CA 90015-3012
(213) 389-5820
Mailing address
PO BOX 75928, LOS ANGELES, CA 90075-0928
(801) 462-5834
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC15638
CA
Other
Enumeration date
04/03/2024
Last updated
06/05/2024
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