Individual
NICKLAS AZAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
244 KAMEHAMEHA AVE, HILO, HI 96720-2836
(808) 313-2733
Mailing address
PO BOX 1959, HILO, HI 96721-1959
(808) 313-2733
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT16641
HI
Other
Enumeration date
06/15/2023
Last updated
11/06/2023
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