Individual
STEPHANIE M TRUDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3027 PUALEI CIR, APT 112, HONOLULU, HI 96815-4965
(808) 292-8262
Mailing address
PO BOX 235107, HONOLULU, HI 96823-3501
(808) 292-8262
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT-3006
HI
Other
Enumeration date
03/12/2009
Last updated
08/16/2012
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