Provider First Line Business Practice Location Address:
2047 NUUANU AVENUE
Provider Second Line Business Practice Location Address:
#1804
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-348-2199
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/26/2006