Provider First Line Business Practice Location Address:
1780 BOUGAINVILLEA LP
Provider Second Line Business Practice Location Address:
PHYSICAL FITNESS CENTER ALIAMANU MILITARY RESERVATION
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96818
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-253-1498
Provider Business Practice Location Address Fax Number:
808-487-3014
Provider Enumeration Date:
07/09/2012