Provider First Line Business Practice Location Address:
1520 LILIHA ST.
Provider Second Line Business Practice Location Address:
SUITE 703
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-526-0670
Provider Business Practice Location Address Fax Number:
808-536-3116
Provider Enumeration Date:
11/15/2012