Provider First Line Business Practice Location Address:
46-401 HOLOKAA ST
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:
96744-4217
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-259-7948
Provider Business Practice Location Address Fax Number:
808-259-7447
Provider Enumeration Date:
06/13/2006