Provider First Line Business Practice Location Address:
925-F MAUNAKEA 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:
96817-5166
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-523-0082
Provider Business Practice Location Address Fax Number:
808-523-0083
Provider Enumeration Date:
04/30/2007