Individual
ANASTASIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
590 FARRINGTON HWY UNIT 524-226, KAPOLEI, HI 96707-2009
(808) 762-9785
Mailing address
590 FARRINGTON HWY UNIT 524-226, KAPOLEI, HI 96707-2009
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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