Provider First Line Business Practice Location Address:
1575 S. BERETANIA ST.
Provider Second Line Business Practice Location Address:
SUITE 1B
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96826-4862
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-949-8389
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/07/2013