| NPI | 1972906774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE DELA CRUZ BRACEROS Owner 808-347-0558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: HI 8643) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |