| NPI | 1821409236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLARENE KUULEIALOHA VOGELGESANG Owner 808-457-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: HI MAT 3913) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |