Mika Gorgonio, LMT

NPI #1386001840 in Ewa Beach, Hawaii

Provider Information

NPI Number: 1386001840
Entity Type: Individual
Name: Mika Gorgonio, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Jan 28, 2016
Last Updated: Jan 28, 2016

Practice Location

Address: 91-1026 KAIMALIE ST APT Q1
City: Ewa Beach
State: Hawaii
ZIP Code: 96706-5012
Phone: (808) 366-0215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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