Provider First Line Business Practice Location Address:
1100 ALAKEA ST
Provider Second Line Business Practice Location Address:
UNIT 9
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813-2833
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-396-0640
Provider Business Practice Location Address Fax Number:
808-394-0948
Provider Enumeration Date:
01/30/2007