Provider First Line Business Practice Location Address:
7860 KULA HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KULA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96790-7404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-268-5159
Provider Business Practice Location Address Fax Number:
808-876-1984
Provider Enumeration Date:
05/21/2007