Individual
NANCY MIDORI VISITACION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3-3420 KUHIO HWY STE B, LIHUE, HI 96766-1098
(808) 246-1380
(808) 246-1381
Mailing address
3920 HAOA ST APT 121, LIHUE, HI 96766-2132
(808) 398-0229
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
66367
HI
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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