| NPI | 1275518805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL NAUDIN Client Service Manager 808-454-1480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient (Licence: HI LPN-9589) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2020-08-22 |