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NPI Code Detail

MEDICARE: CHAELYN ENOS

MEDICARE: CHAELYN ENOS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1326299132
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAELYN ENOS
Provider Business Mailing Address
First Line : 91-2128 OLD FT WEAVER RD
Second Line :
City : EWA BEACH
State : HI
Zip : 96706-1911
Country : US
Telephone Number : 808-589-1829
Fax Number :
Provider Business Practice Location Address
First Line : 91-2128 OLD FT WEAVER RD
Second Line :
City : EWA BEACH
State : HI
Zip : 96706-1911
Country : US
Telephone Number : 808-589-1829
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2008
Last Update Date : 04/27/2023

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Directions to “ CHAELYN ENOS ” Practice Location

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