Individual
NOEL LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT, RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
83415
HI
174H00000X
Health Educator
—
—
225700000X
Massage Therapist
Primary
MAT-9498
HI
Other
Enumeration date
01/25/2016
Last updated
04/28/2017
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