Provider First Line Business Practice Location Address:
219B KA'ALAIKI RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NAALEHU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96772
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-929-7331
Provider Business Practice Location Address Fax Number:
808-929-9220
Provider Enumeration Date:
03/17/2008