| NPI | 1275796344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL ULANI TWYNHAM General Surgeon 2562-529-1302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AL 208600000X) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |