Provider First Line Business Practice Location Address:
1953 S BERETANIA ST
Provider Second Line Business Practice Location Address:
SUITE 3-B
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96826-1300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-955-7366
Provider Business Practice Location Address Fax Number:
808-942-1938
Provider Enumeration Date:
02/18/2007