Provider First Line Business Practice Location Address:
46 001 KAMEHAMEHA HWY
Provider Second Line Business Practice Location Address:
SUITE 108
Provider Business Practice Location Address City Name:
KANEOHE
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96744
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-263-5090
Provider Business Practice Location Address Fax Number:
808-247-1785
Provider Enumeration Date:
03/02/2006