Provider First Line Business Practice Location Address:
1650 LILIHA ST
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-3169
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-398-1661
Provider Business Practice Location Address Fax Number:
808-841-1456
Provider Enumeration Date:
09/22/2006