Individual
NICOELLE NISHIMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ABO, NCLE,
Contact information
Practice address
94-595 KUPUOHI ST, WAIPAHU, HI 96797-5382
(808) 688-0700
(808) 688-1615
Mailing address
91-465 POHAKUPUNA RD, EWA BEACH, HI 96706-2348
(808) 295-0387
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DIO-515
HI
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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