Individual
MR. FEDERICO TANGONAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12B ILIMA ST, WAHIAWA, HI 96786-1612
(808) 636-3032
Mailing address
12B ILIMA ST, WAHIAWA, HI 96786-1612
(808) 636-3032
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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