Individual
NICOLE WUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 HINANO ST, HILO, HI 96720-4427
(808) 961-1935
Mailing address
871 EDENA ST, HILO, HI 96720-2791
(808) 959-1279
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/03/2013
Last updated
11/03/2013
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