MR. Wilfred Ashley Chang JR., LMT

NPI #1134382500 in Pearl City, Hawaii

Provider Information

NPI Number: 1134382500
Entity Type: Individual
Name: MR. Wilfred Ashley Chang JR., LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: LMT
Enumeration Date: Jul 7, 2008
Last Updated: Jul 7, 2008

Practice Location

Address: 2020 AANIU LOOP
City: Pearl City
State: Hawaii
ZIP Code: 96782-1310
Phone: (808) 306-1358

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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