Individual
TRACY SAUPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
91-1027 SHANGRILA ST BLDG 1867, KAPOLEI, HI 96707-2101
(808) 674-9595
Mailing address
91-1027 SHANGRILA ST BLDG 1867, KAPOLEI, HI 96707-2101
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
428-LD
HI
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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