Provider First Line Business Practice Location Address:
2228 LILIHA ST
Provider Second Line Business Practice Location Address:
SUITE 208
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:
808-548-0234
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/06/2006