Individual
MS. DEBRA WELCH-MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75-5870 WALUA RD STE 101, KAILUA KONA, HI 96740-1392
(808) 329-9553
Mailing address
PO BOX 1011, KAILUA KONA, HI 96745-1011
(808) 325-6265
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MAT 1240
HI
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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