Individual
NICKOLAS JAKIMOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
41-611 INOAOLE ST, WAIMANALO, HI 96795-1211
(808) 892-4059
Mailing address
2550 KUHIO AVE APT 1202, HONOLULU, HI 96815-2718
(808) 218-5685
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-52730
HI
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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