Individual
ELVIE ROSE BISARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2970 KELE ST STE 110, LIHUE, HI 96766-1822
(808) 246-4898
Mailing address
PO BOX 50977, ELEELE, HI 96705-0977
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
HI
Other
Enumeration date
07/19/2020
Last updated
05/27/2021
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