Provider Demographics
NPI:1942965017
Name:MALALIS, ROSALINDA (RN)
Entity Type:Individual
Prefix:
First Name:ROSALINDA
Middle Name:
Last Name:MALALIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-029 HEKAHA ST
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4915
Mailing Address - Country:US
Mailing Address - Phone:808-484-2205
Mailing Address - Fax:808-488-2151
Practice Address - Street 1:98-029 HEKAHA ST
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4915
Practice Address - Country:US
Practice Address - Phone:808-484-2205
Practice Address - Fax:808-488-2151
Is Sole Proprietor?:No
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI4171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator