Provider First Line Business Practice Location Address:
427 NAHUA 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:
96815-2949
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-924-7845
Provider Business Practice Location Address Fax Number:
808-923-4243
Provider Enumeration Date:
03/28/2008