Provider First Line Business Practice Location Address:
45880 KAMEHAMEHA HIGHWAY
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
KANEOHE
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96744
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-247-2335
Provider Business Practice Location Address Fax Number:
808-235-2286
Provider Enumeration Date:
02/09/2007