| NPI | 1265771828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD EDWARD NICOL President 808-373-2164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: HI 3657) |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2015-12-08 |