Individual
NICOLE TANAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2909 KALAWAO PL, HONOLULU, HI 96822-1546
(808) 445-1634
Mailing address
2909 KALAWAO PL, HONOLULU, HI 96822-1546
(808) 445-1634
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT8377
HI
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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