Individual
YDINE ELENA SANDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA. SLP-CCC
Contact information
Practice address
16-680 KEAAU PAHOA RD, KEAAU, HI 96749-8142
(808) 313-4663
Mailing address
64 KEAWE ST STE 301, HILO, HI 96720-2486
(619) 818-2287
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
996
HI
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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