Provider First Line Business Practice Location Address:
2250 OAHU 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:
96822-2209
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-951-6424
Provider Business Practice Location Address Fax Number:
808-951-8267
Provider Enumeration Date:
05/08/2012