Individual
ILA SOPHIE REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
755 SCOTT CIR, HICKAM AFB, HI 96853-5399
(808) 448-6291
Mailing address
755 SCOTT CIR, HICKAM AFB, HI 96853-5399
(808) 448-6208
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25885
NE
Other
Enumeration date
04/16/2009
Last updated
09/13/2023
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