Provider First Line Business Practice Location Address:
28 KAMOI ST
Provider Second Line Business Practice Location Address:
STE 700
Provider Business Practice Location Address City Name:
KAUNAKAKAI
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96748-2040
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-553-4511
Provider Business Practice Location Address Fax Number:
808-553-3591
Provider Enumeration Date:
05/03/2010