Organization
SID HERMOSURA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISIDRO HERMOSURA PSYD (OWNER)
(808) 226-5128
Entity
Organization
Contact information
Practice address
702 KAPAIA ST, HONOLULU, HI 96825-2413
(808) 226-5128
Mailing address
702 KAPAIA ST, HONOLULU, HI 96825-2413
(808) 226-5128
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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