Provider First Line Business Practice Location Address:
47-653C KAMEHAMEHA HIGHWAY
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:
96744-4965
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-239-0002
Provider Business Practice Location Address Fax Number:
808-239-0002
Provider Enumeration Date:
08/01/2006