Provider First Line Business Practice Location Address:
98-199 KAMEHAMEHA HWY STE E7
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AIEA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96701-4820
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-955-4775
Provider Business Practice Location Address Fax Number:
808-955-3130
Provider Enumeration Date:
01/06/2010