SALLY J MOORE

KILAUEA, HI
NPI1942243944
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: HI  16)
Enumeration Date2006-06-14
Last Update Date2007-07-08
Business Address
Mrs. SALLY J MOORE PA-C
2490 OKA ST
KILAUEA, HI 96754-5332
Phone number: 808-828-1418
Mailing Address
Mrs. SALLY J MOORE PA-C
3667 ANINI RD
KILAUEA, HI 96754-5212
Phone number: 808-828-1150
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