Provider First Line Business Practice Location Address:
2228 LILIHA ST
Provider Second Line Business Practice Location Address:
SUITE 409
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-1650
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-531-7021
Provider Business Practice Location Address Fax Number:
808-531-7022
Provider Enumeration Date:
01/17/2007