Individual
GRACE ELISABETH SOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
770 KAPIOLANI BLVD, SUITE 705, HONOLULU, HI 96813-5212
(619) 992-5635
Mailing address
770 KAPIOLANI BLVD, SUITE 705, HONOLULU, HI 96813-5212
(619) 992-5635
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
263854-1
NY
207P00000X
Emergency Medicine Physician
Primary
MD-16584
HI
Other
Enumeration date
06/03/2008
Last updated
05/07/2025
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