Individual
MONALICE A SILDORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91-1052 KANIO ST, KAPOLEI, HI 96707-3221
(808) 368-2124
(808) 200-4828
Mailing address
91-1052 KANIO ST, KAPOLEI, HI 96707
(808) 368-2124
(808) 200-4828
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
—
—
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
883496408
IRS
—
Enumeration date
08/02/2022
Last updated
08/25/2022
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