Provider First Line Business Practice Location Address:
1331 ALA KAPUNA ST
Provider Second Line Business Practice Location Address:
APT. 104
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96819-1353
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-721-8834
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/27/2007