Provider First Line Business Practice Location Address:
321 N KUAKINI ST
Provider Second Line Business Practice Location Address:
SUITE 308
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-2364
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-440-6852
Provider Business Practice Location Address Fax Number:
808-440-6878
Provider Enumeration Date:
02/28/2008