Provider First Line Business Practice Location Address:
56-565 KAMEHAMEHA HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KAHUKU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96731-2202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-293-9885
Provider Business Practice Location Address Fax Number:
808-293-1999
Provider Enumeration Date:
09/20/2006