Provider First Line Business Practice Location Address:
3221 WAIALAE AVE
Provider Second Line Business Practice Location Address:
SUITE 382
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96816-5845
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-737-7947
Provider Business Practice Location Address Fax Number:
808-732-9463
Provider Enumeration Date:
06/04/2006