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Ted Fontanilla, MT
NPI 1902131428 · on the registry since 2009 · sole proprietor
Practice
- Address
- 47-403 Ahuimanu Rd
Kaneohe, HI 96744 - Phone
- (808) 239-9947
- Fax
- (808) 239-2213
Additional practice sites
- 45-1144 Kamehameha Hwy, Kaneohe, HI
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- HI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-17
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