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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MAT 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.