Provider First Line Business Practice Location Address:
1286 QUEEN EMMA 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:
96813-2303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-538-2882
Provider Business Practice Location Address Fax Number:
808-537-4272
Provider Enumeration Date:
06/14/2007