Individual
MISS NICOLE MAREE AWAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1337 LOWER CAMPUS RD, HONOLULU, HI 96822-2312
(808) 956-7144
Mailing address
PO BOX 162, WAIALUA, HI 96791-0162
(808) 637-6365
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/02/2006
Last updated
07/08/2007
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