Provider First Line Business Practice Location Address:
325 KAIWI STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KAUNAKAKAI
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96748
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-553-9892
Provider Business Practice Location Address Fax Number:
808-553-4411
Provider Enumeration Date:
03/13/2007