NPI | 1134540404 |
---|---|
Former Legal Business Name | MD REFRESH LLC |
Entity Type | Organization |
Authorized Contact | CAROLYN J. MAI Medical Director 808-469-1997 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: HI MD-7155) |
Enumeration Date | 2014-01-03 |
Last Update Date | 2016-06-09 |