Individual
NINA SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
68-090 AU ST, #512E, WAIALUA, HI 96791-9451
(808) 224-3548
(808) 440-5617
Mailing address
68-090 AU ST, #512E, WAIALUA, HI 96791-9451
(808) 224-3548
(808) 440-5617
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT 12326
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMT 12326
STATE OF HI
HI
Enumeration date
01/10/2012
Last updated
11/06/2013
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