Individual
SIENNA LOUISE HANDEGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
2100 HOOKIEKIE ST, PEARL CITY, HI 96782-1425
(208) 989-4382
Mailing address
2100 HOOKIEKIE ST, PEARL CITY, HI 96782-1425
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-1002869
OR
Other
Enumeration date
02/09/2010
Last updated
10/09/2012
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