NPI 1013338516

Mina Moghadam, LMT

Practitioner Specialist Lahaina, HI

Practice location

Address: 845 Wainee St Suite 211, Lahaina, HI 96761-2321
Phone: (808) 667-1801
Mailing address: 1101 Kenui Cir, Lahaina, HI 96761-2354

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 13506 (HI)

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Registry record

NPI: 1013338516
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Dec 2013
Record last updated: 31 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.