Provider First Line Business Practice Location Address:
1485 LINAPUNI ST
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96819-3575
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-843-5312
Provider Business Practice Location Address Fax Number:
808-848-2069
Provider Enumeration Date:
05/18/2010