Individual
NICKLAUS SIPUAA AH CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
56-660 KAMEHAMEHA HWY, KAHUKU, HI 96731-2210
(808) 293-7555
Mailing address
PO BOX 262, HAUULA, HI 96717-0262
(808) 384-6843
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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