Individual
MELISSA LATRICE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
459 PATTERSON RD BLDG 110, HONOLULU, HI 96819-1522
(808) 433-0216
Mailing address
739 N JUDD ST, HONOLULU, HI 96817-2272
(334) 672-3244
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
63786
HI
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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