| NPI | 1861902736 |
|---|---|
| Doing Business As | CORE 808 |
| Entity Type | Organization |
| Authorized Contact | WILLIAM CLARK Owner 808-286-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: HI AT-294) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |