Individual
NICOLE ANN PAMPLONA CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
94-801 FARRINGTON HWY, WAIPAHU, HI 96797-3164
(808) 680-9123
(808) 680-9889
Mailing address
2327 AMOOMOO ST, PEARL CITY, HI 96782
(808) 224-7475
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13459
HI
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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