Provider Demographics
NPI:1366177750
Name:HAVILI-EKANG, MALETINA S
Entity type:Individual
Prefix:
First Name:MALETINA
Middle Name:S
Last Name:HAVILI-EKANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 HILLVIEW CT
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-4578
Mailing Address - Country:US
Mailing Address - Phone:510-853-5994
Mailing Address - Fax:
Practice Address - Street 1:1000 HILLVIEW CT
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-4578
Practice Address - Country:US
Practice Address - Phone:510-853-5994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator