Provider First Line Business Practice Location Address:
45 MOHOULI STREET, STE #101
Provider Second Line Business Practice Location Address:
HILO MEDICAL CENTER -HAWAII ISLAND FAMILY HEALTH CENTER
Provider Business Practice Location Address City Name:
HILO
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-932-4215
Provider Business Practice Location Address Fax Number:
808-933-9291
Provider Enumeration Date:
10/16/2013