Individual provider · Type 1 NPI

Mika Gorgonio, LMT

Specialist · Ewa Beach, HI

NPI number 1386001840 Active

Practice location

91-1026 Kaimalie St Apt Q1
Ewa Beach, HI 96706-5012

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMAT 13853 (HI)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1386001840

Mika Gorgonio, LMT's National Provider Identifier is 1386001840, issued on Jan 28, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ewa Beach, HI. The record was last updated on Jan 28, 2016.