Individual
KELEN C MOANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-210 PUPUKAHI ST STE 207, WAIPAHU, HI 96797-2649
(808) 554-1163
(808) 681-1486
Mailing address
PO BOX 325, WAIANAE, HI 96792-0325
(808) 554-1163
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MHC - 330
HI
Other
Enumeration date
07/29/2009
Last updated
02/11/2020
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