Provider First Line Business Practice Location Address:
3375 KOAPAKA STREET
Provider Second Line Business Practice Location Address:
SUITE F251
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96819-1898
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-840-5690
Provider Business Practice Location Address Fax Number:
808-485-8927
Provider Enumeration Date:
12/16/2005