Provider First Line Business Practice Location Address:
1620 N. SCHOOL STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-1844
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-853-2222
Provider Business Practice Location Address Fax Number:
808-853-2277
Provider Enumeration Date:
09/02/2006