Individual
JENNA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
458 MANAWAI ST APT 1203, KAPOLEI, HI 96707-4612
(808) 367-0986
Mailing address
458 MANAWAI ST APT 1203, KAPOLEI, HI 96707-4612
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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