Individual
MR. JAMES SOTTO MARTIN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
BLDG. 6905 HARRIS AVE, KAILUA, HI 96734
(808) 257-3365
Mailing address
4005 SAN ANTONIO LN, KAILUA, HI 96734-4776
(619) 919-2640
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1088830020
DOD ID NUMBER
—
Enumeration date
10/25/2021
Last updated
06/15/2022
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