Provider First Line Business Practice Location Address:
45-1144 KAMEHAMEHA HWY
Provider Second Line Business Practice Location Address:
STE 200
Provider Business Practice Location Address City Name:
KANEOHE
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96744-3244
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-235-6677
Provider Business Practice Location Address Fax Number:
808-236-0844
Provider Enumeration Date:
05/18/2007