Provider First Line Business Practice Location Address:
WARRIOR OHANA MEDICAL HOME 91-1010 SHANGRILA ST
Provider Second Line Business Practice Location Address:
STE 500
Provider Business Practice Location Address City Name:
KAPOLEI
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96707-2176
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-433-5420
Provider Business Practice Location Address Fax Number:
808-682-4001
Provider Enumeration Date:
05/02/2007