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Individual

JOHNNY CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 KAHELU AVE STE 112, MILILANI, HI 96789-3913
(808) 625-3000
(808) 625-3006
Mailing address
4510 SALT LAKE BLVD STE D8, HONOLULU, HI 96818-3172

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-587
HI

Other

Enumeration date
06/29/2016
Last updated
09/29/2021
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