NPI | 1134346299 |
---|---|
Entity Type | Organization |
Authorized Contact | CECIL FRANK RITER President 808-955-5922 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: HI w20192900-01) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2008-06-02 |