Individual
MR. CONRAD WK MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
277 OHUA AVE, HONOLULU, HI 96815-3643
(808) 922-4787
(808) 922-4950
Mailing address
277 OHUA AVE, HONOLULU, HI 96815-6612
(808) 791-9355
(808) 697-6849
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1064
HI
Other
Enumeration date
04/06/2009
Last updated
06/09/2016
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