Provider Demographics
NPI:1588433924
Name:SARONO, EVETTE UILANI (LMT)
Entity type:Individual
Prefix:
First Name:EVETTE
Middle Name:UILANI
Last Name:SARONO
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-548 MAHINAHOU ST
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-2262
Mailing Address - Country:US
Mailing Address - Phone:808-277-3453
Mailing Address - Fax:
Practice Address - Street 1:99-149 MOANALUA RD
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4001
Practice Address - Country:US
Practice Address - Phone:808-594-3556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT17654225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist