Provider First Line Business Practice Location Address:
2900 PALI HWY
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:
96817-1416
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-748-8659
Provider Business Practice Location Address Fax Number:
808-599-4722
Provider Enumeration Date:
09/27/2005