Individual
LISA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91-2128 OLD FT WEAVER RD, EWA BEACH, HI 96706-1911
(808) 589-1829
(808) 589-2610
Mailing address
91-2128 OLD FT WEAVER RD, EWA BEACH, HI 96706-1911
(808) 589-1829
(808) 589-2610
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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