Provider First Line Business Practice Location Address:
45-696 KAMEHAMEHA HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KANEOHE
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96744-2034
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-235-0729
Provider Business Practice Location Address Fax Number:
808-263-3958
Provider Enumeration Date:
06/26/2006