Individual
NICOLE KUNIHISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18055 SW TUALATIN VALLEY HWY, ALOHA, OR 97003-3953
(503) 642-3018
Mailing address
18055 SW TUALATIN VALLEY HWY, ALOHA, OR 97003-3953
(503) 642-3018
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24715
OR
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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