Provider First Line Business Practice Location Address:
55-3327 AKONI PULE HIGHWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HAWI
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96719
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-889-5556
Provider Business Practice Location Address Fax Number:
808-889-5411
Provider Enumeration Date:
04/13/2007