Individual
CHANCE WHITNIE CONSTANTINO BALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
94-449 AKOKI ST STE 102, WAIPAHU, HI 96797-2732
(808) 671-5511
Mailing address
94-449 AKOKI ST STE 102, WAIPAHU, HI 96797-2732
(808) 671-5511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH-4505
HI
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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