Provider First Line Business Practice Location Address:
50 S BERETANIA ST STE C117A
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:
96813-2215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-447-7448
Provider Business Practice Location Address Fax Number:
808-447-7451
Provider Enumeration Date:
01/13/2011