Provider First Line Business Practice Location Address:
98 1247 KAAHUMANU STREET
Provider Second Line Business Practice Location Address:
SUITE 312A
Provider Business Practice Location Address City Name:
AICA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-488-7888
Provider Business Practice Location Address Fax Number:
808-488-1631
Provider Enumeration Date:
10/31/2006