Individual
MAKIKO MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2232 AUPAKA ST, PEARL CITY, HI 96782-1213
(808) 489-4433
Mailing address
2232 AUPAKA ST, PEARL CITY, HI 96782-1213
(808) 489-4433
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAT-11586
HI
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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