Provider First Line Business Practice Location Address:
197 SAND ISLAND ACCESS RD
Provider Second Line Business Practice Location Address:
SUITE #201
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96819-4997
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-783-4334
Provider Business Practice Location Address Fax Number:
808-842-1936
Provider Enumeration Date:
10/19/2007