Provider First Line Business Practice Location Address:
47-375 KAMEHAMEHA HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KANEOHE
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96744-4737
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-239-9297
Provider Business Practice Location Address Fax Number:
808-239-0009
Provider Enumeration Date:
07/16/2006