Desa, Deza-Rae

Desa, Deza-Rae is an individual health care provider with primary practice located at 1130 N Nimitz Hwy Rm C210 , Honolulu HI 96817-6514. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Desa, Deza-Rae can be contacted via phone (808) 838-7752.

Contact Information

Primary practice address
1130 N Nimitz Hwy Rm C210 Honolulu HI 96817-6514
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1487397014
LBN Legal business name Desa, Deza-Rae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2022
Last updated Apr 20th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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