| NPI | 1023368610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS R ABEYTA Manager 808-969-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: HI 10054) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |