Provider Demographics
NPI:1205311321
Name:KISHINAMI, VALERIE ALOHA MARIKO (NBC-HWC)
Entity type:Individual
Prefix:
First Name:VALERIE ALOHA
Middle Name:MARIKO
Last Name:KISHINAMI
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 PILA PL
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96821-2419
Mailing Address - Country:US
Mailing Address - Phone:808-392-0858
Mailing Address - Fax:
Practice Address - Street 1:604 PILA PL
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96821-2419
Practice Address - Country:US
Practice Address - Phone:808-392-0858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-25
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
Provider Identifiers
StateIdentifier IDID TypeIssuer
435489172OtherINTERNATIONAL CONSORTIUM FOR HEALTH & WELLNESS COACHING