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 |