| NPI | 1699127332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMIAN SMITH Owner 808-591-9339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2019-01-28 |