Provider First Line Business Practice Location Address:
201 OHUA AVE
Provider Second Line Business Practice Location Address:
3704-I
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96815-3653
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-467-2418
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/18/2008