Chanthavilay Phanthanouvong

NPI #1366716177 in Honolulu, Hawaii

Provider Information

NPI Number: 1366716177
Entity Type: Individual
Name: Chanthavilay Phanthanouvong
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Feb 27, 2012
Last Updated: Feb 27, 2012

Practice Location

Address: 1314 S KING ST
City: Honolulu
State: Hawaii
ZIP Code: 96814-1956
Phone: (808) 541-7209

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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