Provider First Line Business Practice Location Address:
98-200 KAMEHAMEHA HWY STE 306
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AIEA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96701-4329
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-483-4131
Provider Business Practice Location Address Fax Number:
808-483-4133
Provider Enumeration Date:
02/28/2007