Nicole Tabandera

NPI #1194224139 in Kamuela, Hawaii

Provider Information

NPI Number: 1194224139
Entity Type: Individual
Name: Nicole Tabandera
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Feb 5, 2018
Last Updated: Feb 5, 2018

Practice Location

Address: 65-1271 KAWAIHAE RD
City: Kamuela
State: Hawaii
ZIP Code: 96743-7369
Phone: (808) 885-4418

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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