Individual
DR. LOUIE MAR ALVIZ GANGCUANGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSC
Contact information
Practice address
651 ILALO ST, HONOLULU, HI 96813-5525
(808) 692-1357
Mailing address
651 ILALO ST, HONOLULU, HI 96813-5525
(808) 692-1357
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
MD-22727-0
HI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/23/2014
Last updated
07/07/2022
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