Provider First Line Business Practice Location Address:
45-880 KAMEHAMEHA HWY RM 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KANEOHE
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96744-2969
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-247-3343
Provider Business Practice Location Address Fax Number:
808-247-3343
Provider Enumeration Date:
04/10/2007