Provider First Line Business Practice Location Address:
45-319 PUULOKO PL
Provider Second Line Business Practice Location Address:
DEPRTMENT OF MEDICINE
Provider Business Practice Location Address City Name:
KANEOHE
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96744-2788
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-540-5500
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/01/2007