Provider First Line Business Practice Location Address:
1919 IWAHO PL
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:
96819-3006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-295-3868
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/18/2008