Individual
MR. JONATHAN SORIANO CAMACAYLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
68-1845 WAIKOLOA RD, STE 211, WAIKOLOA, HI 96738
(808) 883-3400
(808) 883-3440
Mailing address
68-1845 WAIKOLOA RD, STE 106 # 220, WAIKOLOA, HI 96738
(808) 883-3400
(808) 883-3440
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2935
HI
Other
Enumeration date
07/08/2009
Last updated
07/21/2022
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