Provider First Line Business Practice Location Address:
1804 HAU 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:
96819-3253
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-848-4663
Provider Business Practice Location Address Fax Number:
808-848-0697
Provider Enumeration Date:
12/27/2006