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Individual

MS. ELISE ALISON TRUMBLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
2980 AINAOLA DR, HILO, HI 96720-3591
(808) 959-2944
Mailing address
PO BOX 1755, HILO, HI 96721-1755
(808) 959-2944

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 1824
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00B0217816
HMSA HALE ANUENUE
HI
01
00C0217814
HMSA LCC HILO
HI
01
A217818
HMSA SOLE
HI
Enumeration date
03/21/2007
Last updated
10/22/2015
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