NPI | 1235574419 |
---|---|
Other Name | MARY JANG FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | MARY INKYEONG JANG Manager 808-386-7230 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 1042) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: HI 1044) |
Enumeration Date | 2013-05-01 |
Last Update Date | 2016-09-16 |