Individual
NICOLE MATSUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
478 LAUHALA PLACE, LANAI COMMUNITY HEALTH CENTER, LANAI CITY, HI 96763
(808) 565-6919
Mailing address
1561 PENSACOLA ST, 1405, HONOLULU, HI 96822-3893
(808) 372-4315
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00997848
HI
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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