| NPI | 1073884508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA BRYANT-GREENWOOD Owner 808-888-8320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-15650) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |