| NPI | 1457795528 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | VIVENCIO MACABEO JAVIER Registered Nurse 808-397-0878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: AK 0000000) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-19 |