Provider Demographics
NPI:1801359377
Name:LE'IATO, MALUOFITI VALENTINO
Entity Type:Individual
Prefix:
First Name:MALUOFITI
Middle Name:VALENTINO
Last Name:LE'IATO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12037 1ST AVE S APT B205
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98168-5035
Mailing Address - Country:US
Mailing Address - Phone:206-883-2243
Mailing Address - Fax:
Practice Address - Street 1:12037 1ST AVE S APT B205
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98168-5035
Practice Address - Country:US
Practice Address - Phone:206-883-2243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator