Provider First Line Business Practice Location Address:
98-1247 KAAHUMANU ST.
Provider Second Line Business Practice Location Address:
#118
Provider Business Practice Location Address City Name:
AIEA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-674-9595
Provider Business Practice Location Address Fax Number:
808-674-9696
Provider Enumeration Date:
06/25/2012