Provider First Line Business Practice Location Address:
2029 NUUANU AVE
Provider Second Line Business Practice Location Address:
#1402
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-2515
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-779-9966
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/05/2008