MS. Mina Moghadam, LMT

NPI #1013338516 in Lahaina, Hawaii

Provider Information

NPI Number: 1013338516
Entity Type: Individual
Name: MS. Mina Moghadam, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Dec 31, 2013
Last Updated: Dec 31, 2013

Practice Location

Address: 845 WAINEE ST
Address 2: SUITE 211
City: Lahaina
State: Hawaii
ZIP Code: 96761-2321
Phone: (808) 667-1801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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