| NPI | 1073796868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE NOELLE MANSANAS Executive Vice President 808-379-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD6854) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2024-09-06 |