Most Relevant Information
Provider Data
| NPI Number: | 1003570151 |
| Provider Name: | JAMES SOTTO MARTIN IDC |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/25/2021 |
| Last Updated: | 06/15/2022 |
Provider Practice Location
BLDG. 6905 HARRIS AVE
KAILUA
HI
96734
Practice Location Phone/Fax
| Phone: | 8082573365 |
| Fax: |
Provider Mailing Location
4005 SAN ANTONIO LN
KAILUA
HI
967344776
Provider Mailing Phone/Fax
| Phone: | 6199192640 |
| Fax: |