Provider First Line Business Practice Location Address:
1300 PALI HWY
Provider Second Line Business Practice Location Address:
#204
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813-2230
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-753-5797
Provider Business Practice Location Address Fax Number:
808-536-6868
Provider Enumeration Date:
06/24/2006