Provider First Line Business Practice Location Address:
321 N KUAKINI ST
Provider Second Line Business Practice Location Address:
613
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-2364
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-521-2672
Provider Business Practice Location Address Fax Number:
808-521-2673
Provider Enumeration Date:
08/30/2006