Individual
STAR F SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85-775 PILIUKA PL, WAIANAE, HI 96792-2535
(808) 679-1909
Mailing address
85-775 PILIUKA PL, WAIANAE, HI 96792-2535
(808) 679-1909
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
58438
HI
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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