NPI | 1316375900 |
---|---|
Doing Business As | EAST HAWAII MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | PETER A MATSUURA Manager 808-969-3331 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-566) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: HI APRN-566) |
363LF0000X Nurse Practitioner, Family (Licence: HI APRN-RX-445) | |
Enumeration Date | 2013-10-17 |
Last Update Date | 2013-10-17 |