Individual
JUANITA S CHANG PUAPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
401 KAMAKEE ST STE 201, HONOLULU, HI 96814-4243
(310) 849-6625
Mailing address
3275 PAUMA PL APT B, HONOLULU, HI 96822-1383
(310) 849-6625
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP524838
CA
363LF0000X
Family Nurse Practitioner
Primary
APRN 1155
HI
Other
Enumeration date
12/08/2006
Last updated
01/14/2025
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