Individual
TARISSA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 CAMPUS RD, HONOLULU, HI 96822-2217
(808) 956-8111
Mailing address
1144 KUMUKUMU ST APT A, HONOLULU, HI 96825-2646
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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