| NPI | 1265769301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISSE DJ JOSON Owner 808-343-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: HI W0547257601) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2009-11-10 |