| NPI | 1861994626 |
|---|---|
| Doing Business As | PARK WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JENNIFER GRUNE CEO/Ap RN 808-333-3450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-2244) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2024-01-31 |