NPI | 1881328441 |
---|---|
Entity Type | Organization |
Authorized Contact | JAYNICE AKAKA Office Manager 808-880-3321 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 207Q00000X Family Medicine |
207QA0000X Family Medicine, Adolescent Medicine | |
261QR1300X Clinic/Center, Rural Health | |
Enumeration Date | 2022-07-11 |
Last Update Date | 2023-05-15 |