Provider First Line Business Practice Location Address:
850 KAMEHAMEHA HWY STE 107
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PEARL CITY
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96782-2682
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-455-4555
Provider Business Practice Location Address Fax Number:
808-456-9304
Provider Enumeration Date:
03/31/2025