Provider First Line Business Practice Location Address:
95-660 LANIKUHANA AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILILANI
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96789-2900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-432-4220
Provider Business Practice Location Address Fax Number:
808-432-4343
Provider Enumeration Date:
01/25/2007