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Nicholas Wallace

NPI 1508771585 · on the registry since 2026 · sole proprietor

Practice

Address
1773 Wili Pa Loop Ste A
Wailuku, HI 96793
Phone
(808) 856-9821
Clinicians at this address
2

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Sex
Male
Record last updated
2026-08-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii