Provider First Line Business Practice Location Address:
46-001 KAMEHAMEHA HWY
Provider Second Line Business Practice Location Address:
SUITE 412
Provider Business Practice Location Address City Name:
KANEOHE
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96744-3711
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-735-7681
Provider Business Practice Location Address Fax Number:
808-734-0027
Provider Enumeration Date:
04/14/2008