Provider First Line Business Practice Location Address:
1580 MAKALOA ST
Provider Second Line Business Practice Location Address:
SUITE #725
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-3237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-973-3747
Provider Business Practice Location Address Fax Number:
808-973-3757
Provider Enumeration Date:
09/21/2006