Provider Information for 1700416633
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KUUPUAMAKAMAE NALUAI LPC
Sex: Female
NPI: 1700416633
Last Updated: 2025-03-21
Certification Date: 2025-03-21
Certification Date: 2025-03-21
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1700416633 | ||||||||
| Enumeration Date | 2020-01-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2202 EXECUTIVE DR STE C HAMPTON, VA 23666-6604 United States Phone: 757-827-7707 | Fax: | ||||||||
| Primary Practice Address | 2202 EXECUTIVE DR STE C HAMPTON, VA 23666-6604 United States Phone: 757-827-7707 | Fax: | ||||||||
| Secondary Practice Address(es) | 2208 EXECUTIVE DR | ||||||||
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