Provider First Line Business Practice Location Address:
1803 KAMEHAMEHA IV ROAD
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:
96819
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-271-0362
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/29/2013