Individual
KATIE LYNNE TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
81-6587 MAMALAHOA HWY, BLDG C, KEALAKEKUA, HI 96750
(808) 323-2664
(808) 323-2999
Mailing address
91-1841 FORT WEAVER RD, EWA BEACH, HI 96706-1909
(808) 681-3500
(808) 681-1486
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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