Individual
ASHLEY S CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
595 LAUKAPU ST, HILO, HI 96720-4435
(808) 796-0356
Mailing address
595 LAUKAPU ST, HILO, HI 96720-4435
(808) 796-0356
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-104974
HI
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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