Provider First Line Business Practice Location Address:
60 N KUAKINI ST
Provider Second Line Business Practice Location Address:
APT 2-I
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-2452
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-282-0228
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/04/2012