NPI | 1144585001 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE YUKIKO GESIK Member 808-521-8170 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: HI W95834543-01) |
Enumeration Date | 2012-07-06 |
Last Update Date | 2013-01-11 |