Individual
CHONTILLE AFONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 CALIFORNIA AVE, WAHIAWA, HI 96786-1554
(808) 305-3900
Mailing address
130 CALIFORNIA AVE, WAHIAWA, HI 96786-1554
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-2072
HI
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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