Individual
MRS. LISA A COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4695 MAILIHUNA RD, KAPAA, HI 96746-2051
(808) 821-6957
(808) 821-6958
Mailing address
4695 MAILIHUNA RD, KAPAA, HI 96746-2051
(808) 821-6957
(808) 821-6958
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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