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Individual

STACY PAULA GUERRERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1337 LOWER CAMPUS RD, HONOLULU, HI 96822-2352
(808) 956-7144
(808) 956-5717
Mailing address
1914 UNIVERSITY AVE APT 209, HONOLULU, HI 96822-2473
(469) 360-4339

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-408-0
HI

Other

Enumeration date
07/27/2022
Last updated
07/27/2022
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