Provider First Line Business Practice Location Address:
226 N KUAKINI ST
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:
96817-2421
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-531-3511
Provider Business Practice Location Address Fax Number:
808-544-3377
Provider Enumeration Date:
09/12/2006