Provider First Line Business Practice Location Address:
46-012 KAMEHAMEHA HWY STE B1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KANEOHE
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96744-6701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-235-2828
Provider Business Practice Location Address Fax Number:
808-236-2829
Provider Enumeration Date:
01/09/2007