Provider First Line Business Practice Location Address:
2228 LILIHA ST
Provider Second Line Business Practice Location Address:
STE 404
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-1654
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-386-6851
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/25/2007