Provider First Line Business Practice Location Address:
16-192 PILI MUA ST
Provider Second Line Business Practice Location Address:
KEAAU FAMILY HEALTH CENTER
Provider Business Practice Location Address City Name:
KEAAU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96749
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-930-0400
Provider Business Practice Location Address Fax Number:
808-934-3238
Provider Enumeration Date:
04/11/2006