Provider First Line Business Practice Location Address:
66-090 KAMEHAMEHA HWY
Provider Second Line Business Practice Location Address:
QUEEN LILUOKALANI PROTESTANT CHURCH
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:
808-284-5212
Provider Business Practice Location Address Fax Number:
808-791-9314
Provider Enumeration Date:
08/04/2008