Individual
CHAD WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1226 YOUNG ST APT H, HONOLULU, HI 96814-1810
(808) 269-2237
(808) 400-5892
Mailing address
1226 YOUNG ST APT H, HONOLULU, HI 96814-1810
(808) 269-2237
(808) 400-5892
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
HI
247200000X
Other Technician
Primary
—
HI
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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