Provider First Line Business Practice Location Address:
966 KAHEKA ST
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:
96814-2427
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-945-7875
Provider Business Practice Location Address Fax Number:
808-951-8507
Provider Enumeration Date:
08/30/2006