Provider Demographics
NPI:1407195936
Name:SAKAMOTO, SHARON S (LMT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:S
Last Name:SAKAMOTO
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 1:1401 ALA AOLANI ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-1404
Mailing Address - Country:US
Mailing Address - Phone:808-554-5572
Mailing Address - Fax:
Practice Address - Street 1:1401 ALA AOLANI ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-1404
Practice Address - Country:US
Practice Address - Phone:808-554-5572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILMT-2774174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist