Provider First Line Business Practice Location Address:
1712 LILIHA STREET
Provider Second Line Business Practice Location Address:
LILIHA MEDICAL BLG SUITE 203
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:
808-537-4139
Provider Business Practice Location Address Fax Number:
808-537-4139
Provider Enumeration Date:
01/03/2007