Individual
JERRY MOANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
601 KAMOKILA BLVD STE 135, KAPOLEI, HI 96707-2035
(808) 692-7874
Mailing address
92-1175 PALAHIA ST, KAPOLEI, HI 96707-3357
(808) 692-7874
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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