Individual
VINCENT FRIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
91-1027 SHANGRILA ST, KAPOLEI, HI 96707-2101
(808) 674-9595
Mailing address
2525 DATE ST APT 2903, HONOLULU, HI 96826-5420
(562) 217-3396
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5155
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5622173396
—
CA
Enumeration date
04/26/2021
Last updated
04/26/2021
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