Individual
NICOLE CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT # 14948
Contact information
Practice address
75-5759 KUAKINI HWY STE 103E, KAILUA KONA, HI 96740-1726
(808) 937-0213
Mailing address
PO BOX 1073, CAPTAIN COOK, HI 96704-1073
(808) 937-0213
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14948
HI
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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