| NPI | 1912928367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORA I CORPUZ Office Manager 808-487-7938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: HI MD10426) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-01-10 |