Individual
NICHOLAS VON WIEGANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1039 S KING ST, HONOLULU, HI 96814-2113
(808) 594-0400
Mailing address
3017 PUALEI CIR APT 116, HONOLULU, HI 96815-4946
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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