Provider First Line Business Practice Location Address:
79-1019 HAUKAPILA ST
Provider Second Line Business Practice Location Address:
KONA COMMUNITY HOSPITAL
Provider Business Practice Location Address City Name:
KEALAKEKUA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96750
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-640-7649
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/17/2006