NPI | 1790902120 |
---|---|
Other Name | HALE MAKUA - SUPPLIER |
Entity Type | Organization |
Authorized Contact | WESLEY LO Chief Executive Officer 808-877-2761 |
Organization Subpart ? | No |
Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
Enumeration Date | 2007-04-19 |
Last Update Date | 2017-03-24 |