Provider First Line Business Practice Location Address:
318 KAMANI STREET
Provider Second Line Business Practice Location Address:
DRAGON GATE SANCTUARY (HERBOLOGIE BLDG)
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-286-1823
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/26/2014