Provider First Line Business Practice Location Address:
1520 LILIHA STREET
Provider Second Line Business Practice Location Address:
#701
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:
808-528-4577
Provider Business Practice Location Address Fax Number:
808-528-4577
Provider Enumeration Date:
06/18/2006