Organization
MOTHER'S MILK LLC
Active
Other names
Mother's Milk
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH KEHAU KEALOHA RN, IBCLC (OWNER)
(808) 887-6659
Entity
Organization
Contact information
Practice address
64-778 PAELIALANUI STREET, KAMUELA, HI 96743-2625
(808) 887-6659
Mailing address
PO BOX 2625, KAMUELA, HI 96743-2625
(808) 887-6659
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SMXPR0032688
—
HI
Enumeration date
12/16/2018
Last updated
12/16/2018
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