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Individual

MRS. NICOLE S CHRYSLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
970 N KALAHEO AVE STE C306, KAILUA, HI 96734-1873
(808) 263-7383
(808) 237-5828
Mailing address
970 N KALAHEO AVE STE C306, KAILUA, HI 96734-1873
(808) 263-7383
(808) 237-5828

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AMD-447
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
80695700
ID
Enumeration date
07/12/2005
Last updated
08/13/2019
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