Individual
MALULANI C.K. ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4340 NANI ST, LIHUE, HI 96766-9039
(808) 754-2012
Mailing address
4340 NANI ST, LIHUE, HI 96766-9039
(808) 754-2012
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2462
HI
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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