Individual
CHET GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
75-233 NANI KAILUA DR, #129, KAILUA KONA, HI 96740-2033
(808) 329-1830
(808) 329-1830
Mailing address
75-233 NANI KAILUA DR, #129, KAILUA KONA, HI 96740-2033
(808) 329-1830
(808) 329-1830
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3332
HI
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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