Provider First Line Business Practice Location Address:
550 PAIEA ST
Provider Second Line Business Practice Location Address:
SUITE 210
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96819-1856
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-834-5158
Provider Business Practice Location Address Fax Number:
808-834-5147
Provider Enumeration Date:
08/31/2006