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Individual

DIANE MARIE NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
84-1170 FARRINGTON HWY STE A, WAIANAE, HI 96792-2060
(808) 695-7926
(808) 695-7928
Mailing address
84-1170 FARRINGTON HWY STE A, WAIANAE, HI 96792-2060
(808) 695-7926
(808) 695-7928

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
78335
HI

Other

Enumeration date
09/20/2018
Last updated
09/20/2018
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