Provider First Line Business Practice Location Address:
94-260 WAIPAHU DEPOT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAIPAHU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96797-3009
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-469-7690
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/01/2009