| NPI | 1114162518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANTE ALBANO DOMINGO Owner 808-839-3091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: HI W3059479201) |
| Enumeration Date | 2008-12-14 |
| Last Update Date | 2008-12-14 |