Individual
CHANDROUTIE PAM LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
77-114 NAHALE PL, KAILUA KONA, HI 96740-2418
(808) 322-5662
(808) 322-9617
Mailing address
77-114 NAHALE PL, KAILUA KONA, HI 96740-2418
(808) 322-5662
(808) 322-9617
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
238
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238
STATE LICENSE NUMBER
HI
Enumeration date
01/28/2007
Last updated
07/08/2007
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