Provider First Line Business Practice Location Address:
80 MAHALANI STREET
Provider Second Line Business Practice Location Address:
KAISER WAILUKU CLINIC
Provider Business Practice Location Address City Name:
WAILUKU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96793
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-243-6106
Provider Business Practice Location Address Fax Number:
808-243-6630
Provider Enumeration Date:
01/17/2007