Individual
MS. CONNIE LYNN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. AC., L.M.T.
Contact information
Practice address
3959 KOKO DR, HONOLULU, HI 96816-4306
(808) 735-7107
Mailing address
PO BOX 161065, HONOLULU, HI 96816-0923
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
764
HI
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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