Provider First Line Business Practice Location Address:
4643 WAIMEA CANYAN DR
Provider Second Line Business Practice Location Address:
WEST KAUAI MEDICAL CENTER
Provider Business Practice Location Address City Name:
WAIMEA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96796-0337
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-338-9457
Provider Business Practice Location Address Fax Number:
808-338-9420
Provider Enumeration Date:
09/25/2006