Provider First Line Business Practice Location Address:
1224 ALA KAPUNA ST
Provider Second Line Business Practice Location Address:
APT 109
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96819-4626
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-294-9352
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/19/2015