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Individual

MELISSA WALSH CHONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPM, LM

Contact information

Practice address
111 KULANIHAKOI ST, KIHEI, HI 96753-7348
(478) 960-6367
Mailing address
111 KULANIHAKOI ST, KIHEI, HI 96753-7348

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
176B00000X
Midwife
Primary
MW08
HI
225700000X
Massage Therapist
MT001311
GA
374J00000X
Doula

Other

Enumeration date
11/07/2016
Last updated
12/28/2021
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