Provider Demographics
NPI:1447551338
Name:ASATO, TRUDY HATSUYO
Entity type:Individual
Prefix:MRS
First Name:TRUDY
Middle Name:HATSUYO
Last Name:ASATO
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:TRUDY
Other - Middle Name:HATSUYO
Other - Last Name:NAKADOMARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:91-809 APOKE PL
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-2701
Mailing Address - Country:US
Mailing Address - Phone:808-692-6994
Mailing Address - Fax:808-748-3080
Practice Address - Street 1:91-809 APOKE PL
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-2701
Practice Address - Country:US
Practice Address - Phone:808-692-6994
Practice Address - Fax:808-748-3080
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-08
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker