Provider Demographics
NPI:1821348467
Name:MOORE, FRANCESCA ALEXANDRA (LMT)
Entity Type:Individual
Prefix:MRS
First Name:FRANCESCA
Middle Name:ALEXANDRA
Last Name:MOORE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MISS
Other - First Name:FRANCESCA
Other - Middle Name:ALEXANDRA
Other - Last Name:MARESCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:PO BOX 1170
Mailing Address - Street 2:
Mailing Address - City:PUUNENE
Mailing Address - State:HI
Mailing Address - Zip Code:96784-1170
Mailing Address - Country:US
Mailing Address - Phone:808-269-2544
Mailing Address - Fax:808-877-1558
Practice Address - Street 1:360 HOOHANA ST STE A104
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-2975
Practice Address - Country:US
Practice Address - Phone:808-269-2544
Practice Address - Fax:808-877-1558
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-11
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT 12226225700000X
NY024951-1225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist