Provider First Line Business Practice Location Address:
2450 WAOLANI AVE
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:
96817-1390
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-285-2004
Provider Business Practice Location Address Fax Number:
808-595-3365
Provider Enumeration Date:
08/24/2005