Provider First Line Business Practice Location Address:
98-180 KAMEHAMEHA HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AIEA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96701-4709
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-488-0815
Provider Business Practice Location Address Fax Number:
808-488-0815
Provider Enumeration Date:
11/08/2006