Provider Demographics
NPI:1518859834
Name:RONDEAU, STEPHANIE CLAIRE
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:CLAIRE
Last Name:RONDEAU
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2736 KAUPAKALUA RD
Mailing Address - Street 2:
Mailing Address - City:HAIKU
Mailing Address - State:HI
Mailing Address - Zip Code:96708-6028
Mailing Address - Country:US
Mailing Address - Phone:808-269-7038
Mailing Address - Fax:
Practice Address - Street 1:2736 KAUPAKALUA RD
Practice Address - Street 2:
Practice Address - City:HAIKU
Practice Address - State:HI
Practice Address - Zip Code:96708-6028
Practice Address - Country:US
Practice Address - Phone:808-269-7038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker