Provider First Line Business Practice Location Address:
46-590 KAMEHAMEHA HWY
Provider Second Line Business Practice Location Address:
KAHUKU HIGH SCHOOL
Provider Business Practice Location Address City Name:
KAHUKU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96731
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-305-7471
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/20/2017