| NPI | 1487914347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYDEEN M FUJIMOTO-BUSSE Owner 808-524-4055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: HI 6492) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: HI 15081) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-11-08 |