Provider First Line Business Practice Location Address:
1868 KAHAKAI DR
Provider Second Line Business Practice Location Address:
UNIT 112
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-4838
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-772-1162
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/31/2008