Provider First Line Business Practice Location Address:
135 S KAMEHAMEHA HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAHIAWA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96786-1810
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-622-1050
Provider Business Practice Location Address Fax Number:
808-621-2420
Provider Enumeration Date:
02/28/2012