Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND240 | HI |
NPI | 1043555766 |
---|---|
Provider Name | Dr. Moon Jean Ho |
First Address | Pahoa, HI 96778 |
Second Address | Pahoa, HI 96778 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2012 |
Last Update Date | 06/12/2012 |