Provider First Line Business Practice Location Address:
HC01 841D KAMEHAMEHA HIGHWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KAUNAKAKAI
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96748-0222
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-352-5892
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/27/2008