Provider Demographics
NPI:1982905873
Name:MAILO, FELAFOAI (PARA PROFESSIONAL)
Entity type:Individual
Prefix:MS
First Name:FELAFOAI
Middle Name:
Last Name:MAILO
Suffix:
Gender:F
Credentials:PARA PROFESSIONAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87-127 LOPIKANE ST
Mailing Address - Street 2:
Mailing Address - City:WAIANAE
Mailing Address - State:HI
Mailing Address - Zip Code:96792-3149
Mailing Address - Country:US
Mailing Address - Phone:808-216-8553
Mailing Address - Fax:
Practice Address - Street 1:87-127 LOPIKANE ST
Practice Address - Street 2:
Practice Address - City:WAIANAE
Practice Address - State:HI
Practice Address - Zip Code:96792-3149
Practice Address - Country:US
Practice Address - Phone:808-216-8553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-08
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker