| NPI | 1235454166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN HESLINGA Sole Member 808-729-1796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: HI MD5742) |
| Enumeration Date | 2010-04-03 |
| Last Update Date | 2019-07-03 |