Provider First Line Business Practice Location Address:
86-260 FARRINGTON HWY, MALAMA OLA CLINIC
Provider Second Line Business Practice Location Address:
WAIANAE COAST COMPREHENSIVE HEALTH CENTER
Provider Business Practice Location Address City Name:
WAIANAE
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96792
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-697-3490
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/01/2009