Individual
MICHELLE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT
Contact information
Practice address
118 PONAHAWAI ST, HILO, HI 96720-3004
(808) 464-5195
Mailing address
118 MALAMA PL BLDG F, HILO, HI 96720-1894
(808) 741-1242
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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