Provider First Line Business Practice Location Address:
1834 NUUANU AVE
Provider Second Line Business Practice Location Address:
#105
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:
808-537-2932
Provider Business Practice Location Address Fax Number:
808-537-2933
Provider Enumeration Date:
07/07/2006