Individual
NICOLE TABANDERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65-1271 KAWAIHAE RD, KAMUELA, HI 96743-7369
(808) 885-4418
Mailing address
2391 PIIHONUA RD, HILO, HI 96720-1242
(808) 990-0510
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3716
HI
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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