Provider Demographics
NPI:1417382243
Name:COLOMA, JANA ELIZABETH
Entity Type:Individual
Prefix:
First Name:JANA
Middle Name:ELIZABETH
Last Name:COLOMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2224 MAKANANI DR
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2036
Mailing Address - Country:US
Mailing Address - Phone:808-383-0282
Mailing Address - Fax:
Practice Address - Street 1:2224 MAKANANI DR
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2036
Practice Address - Country:US
Practice Address - Phone:808-383-0282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-11
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor