Individual
DANIEL GARRETT MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
79-1018 HOKUKANO RD, KEALAKEKUA, HI 96750-7903
(808) 339-8704
Mailing address
79-1018 HOKUKANO RD, KEALAKEKUA, HI 96750-7903
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16633
HI
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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