Individual
MR. WILFRED ASHLEY CHANG JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2020 AANIU LOOP, PEARL CITY, HI 96782-1310
(808) 306-1358
Mailing address
2020 AANIU LOOP, PEARL CITY, HI 96782-1310
(808) 306-1358
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MAT- 6194
HI
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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