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Individual

BERNADINE SOUZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2970 KELE ST STE 203, LIHUE, HI 96766-1803
(808) 245-5914
Mailing address
91-1841 FORT WEAVER RD, EWA BEACH, HI 96706-1909

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/26/2017
Last updated
09/26/2017
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