Provider First Line Business Practice Location Address:
98-1079 MOANALUA RD STE 500
Provider Second Line Business Practice Location Address:
PEARL CITY MEDICAL ASSOCIATES, INC.
Provider Business Practice Location Address City Name:
AIEA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96701-4794
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-488-0990
Provider Business Practice Location Address Fax Number:
808-486-4696
Provider Enumeration Date:
04/09/2013