Individual
CRYSTAL-LEE SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75-170 HUALALAI RD STE C310, KAILUA KONA, HI 96740-1737
(808) 329-6395
Mailing address
615 PIIKOI ST, # 203, HONOLULU, HI 96814-3116
(808) 589-1829
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/29/2013
Last updated
09/18/2013
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