NPI | 1457587735 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN SUE President 808-949-8876 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: HI 790) |
Enumeration Date | 2009-06-01 |
Last Update Date | 2009-06-01 |