Provider First Line Business Practice Location Address:
1650 LILIHA ST STE 107
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:
96817-3169
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-536-6117
Provider Business Practice Location Address Fax Number:
808-587-7727
Provider Enumeration Date:
10/12/2006