Provider First Line Business Practice Location Address:
501 KEKAULUOHI STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96825
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-394-1464
Provider Business Practice Location Address Fax Number:
808-395-8487
Provider Enumeration Date:
05/03/2007