Provider First Line Business Practice Location Address:
280 HOMEOLU PLACE
Provider Second Line Business Practice Location Address:
MOLOKAI GENERAL HOSPITAL
Provider Business Practice Location Address City Name:
KAUNAKAKAI
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96748-0408
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-553-3148
Provider Business Practice Location Address Fax Number:
808-553-3164
Provider Enumeration Date:
02/26/2007