Individual
MS. MINA MOGHADAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
845 WAINEE ST, SUITE 211, LAHAINA, HI 96761-2321
(808) 667-1801
Mailing address
1101 KENUI CIR, LAHAINA, HI 96761-2354
(808) 205-7751
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13506
HI
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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