Individual
MR. ISIDRO BENCITO SORIANO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
116 ALA APAPA PL, MAKAWAO, HI 96768-8468
(808) 264-8499
Mailing address
116 ALA APAPA PL, MAKAWAO, HI 96768-8468
(808) 264-8499
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4491
HI
Other
Enumeration date
11/02/2017
Last updated
08/19/2020
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