Provider First Line Business Practice Location Address:
1029 KAPAHULU AVE STE 309
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:
96816-1332
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-568-0160
Provider Business Practice Location Address Fax Number:
808-568-0160
Provider Enumeration Date:
10/20/2006