Individual
ELYSSA NAKANISHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 WILDER AVE APT 319, HONOLULU, HI 96822
(808) 306-0428
Mailing address
1330 WILDER AVE APT 319, HONOLULU, HI 96822-4272
(808) 306-0428
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
RBT-16-18078
HI
Other
Enumeration date
05/26/2016
Last updated
02/23/2017
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