Provider First Line Business Practice Location Address:
3615 HARDING AVE
Provider Second Line Business Practice Location Address:
SUITE 304
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96816-3735
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-389-6715
Provider Business Practice Location Address Fax Number:
808-732-5637
Provider Enumeration Date:
12/11/2006