Provider First Line Business Practice Location Address:
98-200 KAMEHAMEHA HWY
Provider Second Line Business Practice Location Address:
SUITE 407
Provider Business Practice Location Address City Name:
AIEA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-487-5766
Provider Business Practice Location Address Fax Number:
808-487-5768
Provider Enumeration Date:
04/09/2008