Provider First Line Business Practice Location Address:
1712 LILIHA STREET
Provider Second Line Business Practice Location Address:
SUITE304
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-3114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-522-1313
Provider Business Practice Location Address Fax Number:
808-522-1309
Provider Enumeration Date:
10/04/2006