Raven Moss

NPI #1275127631 in Kaneohe, Hawaii

Provider Information

NPI Number: 1275127631
Entity Type: Individual
Name: Raven Moss
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Feb 25, 2021
Last Updated: Feb 25, 2021

Practice Location

Address: 45-480 KANEOHE BAY DR
City: Kaneohe
State: Hawaii
ZIP Code: 96744-2039
Phone: (808) 524-3689

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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