| NPI | 1962968248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA PROUTY Owner 808-667-6161 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2083X0100X Preventive Medicine Occupational Medicine | |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2022-02-15 |