Individual
MONA D NICOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
94-174 KUPUNA LOOP, WAIPAHU, HI 96797-1116
(808) 677-1473
Mailing address
94-174 KUPUNA LOOP, WAIPAHU, HI 96797-1116
(808) 677-1473
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
H1030303072
HI
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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