Provider First Line Business Practice Location Address:
819 MOOWAA ST
Provider Second Line Business Practice Location Address:
SUITE 114
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-4431
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-853-1688
Provider Business Practice Location Address Fax Number:
808-853-1690
Provider Enumeration Date:
08/05/2008