Provider First Line Business Practice Location Address:
45-545 KAMEHAMEHA HWY
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:
96744-1943
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-247-2220
Provider Business Practice Location Address Fax Number:
808-235-3676
Provider Enumeration Date:
10/02/2008