Individual
NIKKI SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
64-1061 MAMALAHOA HWY, SUITE 110, KAMUELA, HI 96743-8482
(808) 937-3013
Mailing address
PO BOX 2926, KAMUELA, HI 96743-2926
(808) 937-3013
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MAT6087
HI
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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