| NPI | 1033393327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA ANNETTE HARBER Staff Nurse 808-257-3365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1102X Clinic/Center, Military Outpatient Operational (Transportable) Component (Licence: CA 638790) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2007-12-21 |