Provider First Line Business Practice Location Address:
7192 KALANIANAOLE HWY
Provider Second Line Business Practice Location Address:
SUITE A143A 191
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96825-1800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-247-1294
Provider Business Practice Location Address Fax Number:
808-235-6280
Provider Enumeration Date:
07/30/2013