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Mr. Ted R Fontanilla, MT
Specialist in Kaneohe, Hawaii
NPI 1902131428

Ted R Fontanilla is a Specialist based in Kaneohe, HI. Ted R Fontanilla practices in Kaneohe, HI and has the professional credentials of MT. The NPI Number for Ted R Fontanilla is 1902131428 and holds a License No. 11453 (Hawaii).

The current practice location address for Ted R Fontanilla is 47-403 Ahuimanu Rd, Kaneohe, HI and can be reached out via phone at 808-239-9947 and via fax at 808-239-2213.

Location: 47-403 Ahuimanu Rd, Kaneohe, HI, 96744-4850
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902131428
Provider Name
Ted R Fontanilla
Credential
MT
Provider Entity Type
Individual
Gender
Male
Address
47-403 Ahuimanu Rd, Kaneohe, HI, 96744-4850
Phone Number
808-239-9947
Fax Number
808-239-2213
Provider Enumeration Date
10/16/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
47-403 Ahuimanu Rd
City
Kaneohe
State
Hawaii
Zip
96744-4850
Phone Number
808-239-9947
Fax Number
808-239-2213
person
Provider Business Mailing Address Details
Address
47-403 Ahuimanu Rd
City
Kaneohe
State
Hawaii
Zip
96744-4850
Phone Number
808-239-9947
Fax Number
808-239-2213
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
11453 (Hawaii)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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