Provider First Line Business Practice Location Address:
928 NUUANU AVE LOWR LEVEL
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:
96817-5193
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-728-6618
Provider Business Practice Location Address Fax Number:
808-215-4255
Provider Enumeration Date:
04/20/2010