NPI 1366716177
Chanthavilay Phanthanouvong
Practice location
- Address
- 1314 S King St, Honolulu, HI 96814-1956
- Phone
- (808) 541-7209
- Mailing address
- 47-505 Alawiki St, Kaneohe, HI 96744-4684
Registered specialties
Contractor
Primary
Registry record
- NPI
- 1366716177
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Feb 2012
- Record last updated
- 27 Feb 2012
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.