Provider First Line Business Practice Location Address:
347 N. KUAKINI ST, HPM-9
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:
96817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-523-8461
Provider Business Practice Location Address Fax Number:
808-528-1897
Provider Enumeration Date:
05/26/2006