Provider Demographics
NPI:1750412086
Name:KAMAHELE-ENTENDENCIA, MALIA KALEO O KALANI (BS)
Entity type:Individual
Prefix:MRS
First Name:MALIA
Middle Name:KALEO O KALANI
Last Name:KAMAHELE-ENTENDENCIA
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 LAUMAKANI LOOP
Mailing Address - Street 2:
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-8200
Mailing Address - Country:US
Mailing Address - Phone:808-276-3468
Mailing Address - Fax:
Practice Address - Street 1:41 LAUMAKANI LOOP
Practice Address - Street 2:
Practice Address - City:KIHEI
Practice Address - State:HI
Practice Address - Zip Code:96753-8200
Practice Address - Country:US
Practice Address - Phone:808-276-3468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker