| NPI | 1114489663 |
|---|---|
| Doing Business As | LIFERESTORE MD |
| Entity Type | Organization |
| Authorized Contact | DAVID PAUL BEHLING Owner 808-585-0785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |