Provider First Line Business Practice Location Address:
45-1123 KAMEHAMEHA HWY STE D
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:
96744-3252
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-744-0222
Provider Business Practice Location Address Fax Number:
808-490-0349
Provider Enumeration Date:
11/18/2019