MR. Ted R Fontanilla, MT

NPI #1902131428 in Kaneohe, Hawaii

Provider Information

NPI Number
1902131428
Entity Type
Individual
Name
MR. Ted R Fontanilla, MT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
MT
Enumeration Date
Oct 16, 2009
Last Updated
Mar 17, 2018

Practice Location

Address
47-403 AHUIMANU RD
State
Hawaii
ZIP Code
96744-4850
Phone
(808) 239-9947

Specialties & Taxonomy Codes

Specialty
Specialist

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