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Individual

NICOLE MARIE BERINOBIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
64-5193 KINOHOU ST STE 103, KAMUELA, HI 96743-8446
(808) 896-5165
(808) 465-3203
Mailing address
64-5193 KINOHOU ST STE 103, KAMUELA, HI 96743-8446
(808) 896-5165
(808) 465-3203

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-15031
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
H01292788
DRIVERS LICENSE
HI
Enumeration date
10/21/2019
Last updated
04/24/2026
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