MRS. Sally J Moore, PA-C

NPI #1942243944 in Kilauea, Hawaii

Provider Information

NPI Number
1942243944
Entity Type
Individual
Name
MRS. Sally J Moore, PA-C
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Jun 14, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2490 OKA ST
State
Hawaii
ZIP Code
96754-5332
Phone
(808) 828-1418

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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