Individual
SUSAN MARIE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1337 LOWER CAMPUS RD, HONOLULU, HI 96822-2352
(910) 585-1098
Mailing address
3043 ALENCASTRE PL, HONOLULU, HI 96816-1909
(910) 585-1098
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-276
HI
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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