Provider First Line Business Practice Location Address:
7192 KALANIANAOLE HIGHWAY
Provider Second Line Business Practice Location Address:
STE 143A #259
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96825
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-384-4725
Provider Business Practice Location Address Fax Number:
808-888-4227
Provider Enumeration Date:
10/03/2006