Individual
IVAN HISAO NAKAMINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
575 FARRINGTON HWY, KAPOLEI, HI 96707-2001
(808) 674-9262
(808) 674-8481
Mailing address
575 FARRINGTON HWY, KAPOLEI, HI 96707-2001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
355
HI
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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