| NPI | 1699131870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH RAYMOND TANAEL GO Member/Organizer 808-258-4015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |