Provider First Line Business Practice Location Address:
1712 LILIHA ST.,
Provider Second Line Business Practice Location Address:
STE. 301
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-536-1011
Provider Business Practice Location Address Fax Number:
808-545-3428
Provider Enumeration Date:
06/16/2006