Provider First Line Business Practice Location Address:
2239 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:
96819
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-791-9425
Provider Business Practice Location Address Fax Number:
808-847-1144
Provider Enumeration Date:
10/04/2006