Individual
BRILEY MOATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16-192 PILI MUA ST, KEAAU, HI 96749-8134
(808) 333-3600
(808) 966-4028
Mailing address
4811 MANDARIN CIR, LINCOLN, NE 68516-4430
(402) 440-4466
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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