Provider First Line Business Practice Location Address:
710 PALEKAUA ST
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:
96816-4755
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-780-0014
Provider Business Practice Location Address Fax Number:
808-356-1609
Provider Enumeration Date:
05/27/2014