NPI | 1982042453 |
---|---|
Doing Business As | HANA PONO CLINIC |
Entity Type | Organization |
Authorized Contact | BRIAN MICHAEL MANJARRES Medical Director 415-990-6355 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD16980) |
Enumeration Date | 2013-06-06 |
Last Update Date | 2013-06-06 |