Provider First Line Business Practice Location Address:
425 KAMEHAMEHA HWY STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PEARL CITY
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96782-3238
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-744-5642
Provider Business Practice Location Address Fax Number:
808-892-1456
Provider Enumeration Date:
07/12/2017