Provider First Line Business Practice Location Address:
64-712 KAKANIHIA RD
Provider Second Line Business Practice Location Address:
PO BOX 7135
Provider Business Practice Location Address City Name:
KAMUELA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96743
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-333-7297
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/07/2025