| NPI | 1659707008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN HENDERSON Nurse Practitioner 808-561-5424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health (Licence: HI APRN 1338) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2014-07-29 |