| NPI | 1568536787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGDALENA A. BALTAZAR Owner 808-677-4969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: HI W0423010802) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |