| NPI | 1205112109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILA M AGULLANA Owner 808-674-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: HI 12344) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |