| NPI | 1700293248 |
|---|---|
| Doing Business As | WAIOLA MEDICAL |
| Entity Type | Organization |
| Authorized Contact | KENYUA JOHNSON Family Nurse Practitioner 808-216-5179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: HI APRN1560) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2015-01-26 |