Jack Fonderwhite, LAC

NPI 1225683279 · on the registry since 2019 · sole proprietor

Practice

Address: 94-216 Farrington Hwy Ste 307
Waipahu, HI 96797
Phone: (808) 726-9241
Organisation at this address: Ahcs Hawaii, Llc
Alfred A. Ines, Md
5 Minute Pharmacy Llc
5 Minute Pharmacy Llc
Ec Home Aid Supply Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 44

Registry record

Primary taxonomy: 171100000X
171100000X
Licence states on file: HI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-06-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii