Individual
MIKALA G PINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT-112
HI
363A00000X
Physician Assistant
Primary
AMD-722
HI
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
10/08/2016
Last updated
06/11/2021
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