Deza-Rae Desa
Peer Specialist in Honolulu, HI. Individual provider (NPI-1).
NPI number1487397014
StatusActive
Last updated in NPPESApr 20, 2022
Details
- NPI
- 1487397014
- Entity type
- Individual (NPI-1)
- Name
- Deza-Rae Desa
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2022
- Certification date
- Apr 20, 2022
- Last updated
- Apr 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
1130 N Nimitz Hwy Rm C210Honolulu, HI 96817-6514
Phone 808-838-7752
Mailing address
1130 N Nimitz Hwy Rm C210Honolulu, HI 96817-6514
Phone 808-838-7752
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All 24 Peer Specialist providers in Honolulu · All 15,929 providers in Honolulu
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