| NPI | 1295423119 |
|---|---|
| Doing Business As | ATHENA CLINIC |
| Entity Type | Organization |
| Authorized Contact | DIANNE HOM Credentialing 808-282-9676 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-05-02 |