Provider First Line Business Practice Location Address:
446 KAWAIHAE ST
Provider Second Line Business Practice Location Address:
#401
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96825-5201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-396-8908
Provider Business Practice Location Address Fax Number:
808-396-8089
Provider Enumeration Date:
09/29/2006