Individual
JUSTIN CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
41-1347 KALANIANAOLE HWY, WAIMANALO, HI 96795-1247
(808) 259-5466
Mailing address
4034 MONTICELLO DR, SUGAR LAND, TX 77479-3825
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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