Provider First Line Business Practice Location Address:
66-434 KAMEHAMEHA HIGHWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HALEIWA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96712
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-277-7736
Provider Business Practice Location Address Fax Number:
808-748-0202
Provider Enumeration Date:
02/05/2010