Provider Demographics
NPI:1235804253
Name:AULAUMEA, GLORIA AKAKA
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:AKAKA
Last Name:AULAUMEA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 W LAKE MEAD PKWY
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-7044
Mailing Address - Country:US
Mailing Address - Phone:702-566-2433
Mailing Address - Fax:
Practice Address - Street 1:153 W LAKE MEAD PKWY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-7044
Practice Address - Country:US
Practice Address - Phone:702-566-2433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAWDL7Z93133B347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle