| NPI | 1619859857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYLIN WINCHESTER Chief Operating Officer 808-676-5331 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-07-21 |