Provider First Line Business Practice Location Address:
2225 N SCHOOL ST
Provider Second Line Business Practice Location Address:
SUITE 203
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96819-2578
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-845-9754
Provider Business Practice Location Address Fax Number:
808-845-9755
Provider Enumeration Date:
09/03/2006