Individual
MR. DEAN PAUL NICKLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2045 MAIN ST, WAILUKU, HI 96793-1648
(808) 244-0312
(808) 242-6783
Mailing address
PO BOX 2751, WAILUKU, HI 96793-7751
(808) 244-0312
(808) 242-6783
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT1783
HI
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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