Organization
ELLIOTT PLOURDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELLIOTT PLOURDE (MST THERAPIST)
(808) 777-8291
Entity
Organization
Contact information
Practice address
1485 LINAPUNI ST RM 105, HONOLULU, HI 96819-3575
(808) 777-8291
Mailing address
1485 LINAPUNI ST RM 105, HONOLULU, HI 96819-3575
(808) 777-8291
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/15/2010
Last updated
05/15/2010
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