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 |