NPI 1225683279

Jack Fonderwhite, LAC

Practitioner Acupuncturist Waipahu, HI

Practice location

Address: 94-216 Farrington Hwy STE 307, Waipahu, HI 96797-1922
Phone: (808) 726-9241
Mailing address: 1806 California Ave, Wahiawa, HI 96786-2737

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 1259 (HI)

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Registry record

NPI: 1225683279
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Aug 2019
Record last updated: 26 Jun 2026

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.