| NPI | 1780869693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SORBELLA MAULIT GUILLERMO Owner/President 808-677-1433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: HI 8981) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |