Provider First Line Business Practice Location Address:
1710 EAST WEST RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96822-2317
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-956-3576
Provider Business Practice Location Address Fax Number:
808-956-0853
Provider Enumeration Date:
06/13/2007