Provider First Line Business Practice Location Address:
1700 LANAKILA AVE
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:
96817-2115
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-832-3823
Provider Business Practice Location Address Fax Number:
808-832-5850
Provider Enumeration Date:
01/09/2007