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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