Individual
SHAYLAH NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1632 S KING ST, HONOLULU, HI 96826-2065
(808) 380-1129
Mailing address
1632 S KING ST, HONOLULU, HI 96826-2065
(808) 380-1129
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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