Provider First Line Business Practice Location Address:
1783 PIIKEA ST
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:
96818-1849
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-543-1188
Provider Business Practice Location Address Fax Number:
808-543-1189
Provider Enumeration Date:
07/25/2006