CHANAVUTH KANITSORAPHAN

HONOLULU, HI
NPI1205329216
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-06-13
Last Update Date2018-06-13
Business Address
CHANAVUTH KANITSORAPHAN MD
1356 LUSITANA ST STE 510
HONOLULU, HI 96813-2409
Phone number: 808-462-2776
Mailing Address
CHANAVUTH KANITSORAPHAN MD
1356 LUSITANA ST STE 510
HONOLULU, HI 96813-2409
Phone number: 808-462-2776