Most Relevant Information
Provider Data
| NPI Number: | 1003027319 |
| Provider Name: | CHONG SON AN APRN-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 952 |
Most Important Dates
| Enumeration Date: | 05/25/2007 |
| Last Updated: | 03/17/2021 |
Provider Practice Location
3288 MOANALUA RD
HONOLULU
HI
968191469
Practice Location Phone/Fax
| Phone: | 8084320000 |
| Fax: |
Provider Mailing Location
95-553 NAWENEWENE CIR
MILILANI
HI
967891402
Provider Mailing Phone/Fax
| Phone: | 8084287293 |
| Fax: |