| NPI | 1578941704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY HORITA WELHAM Owner 808-462-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: HI MD-17885) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-18 |