Provider First Line Business Practice Location Address:
95-390 KUAHELANI AVENUE
Provider Second Line Business Practice Location Address:
THE PHYSICIAN CENTER
Provider Business Practice Location Address City Name:
MILILANI
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96789
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-627-3230
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/18/2008