Individual
MRS. ELVIRA M ELLAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCP
Contact information
Practice address
99-128 AIEA HEIGHTS DR STE 301, AIEA, HI 96701-3933
(808) 497-0816
Mailing address
45-201B WILLIAM HENRY ROAD, KANEOHE, HI 96744
(808) 497-0816
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/10/2013
Last updated
10/09/2023
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