Provider First Line Business Practice Location Address:
BAY CLINIC, INC.
Provider Second Line Business Practice Location Address:
311 KALANIANAOLE AVENUE
Provider Business Practice Location Address City Name:
HILO
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96720-4740
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-969-1427
Provider Business Practice Location Address Fax Number:
808-961-4795
Provider Enumeration Date:
05/05/2006