NPI 1134382500

Wilfred Ashley Chang, LMT

Practitioner Contractor Pearl City, HI

Practice location

Address: 2020 Aaniu Loop, Pearl City, HI 96782-1310
Phone: (808) 306-1358

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence MAT- 6194 (HI)

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Registry record

NPI: 1134382500
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2008
Record last updated: 7 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.