Provider First Line Business Practice Location Address:
1744 LILIHA STREET
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-3155
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-599-0045
Provider Business Practice Location Address Fax Number:
808-591-0004
Provider Enumeration Date:
05/24/2006