Provider First Line Business Practice Location Address:
2125 HAENA DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96822
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-947-5526
Provider Business Practice Location Address Fax Number:
808-947-4214
Provider Enumeration Date:
02/01/2007