| NPI | 1710411202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAUNTELLE VIDINHA Osteopathic Physician 808-391-6493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |