Provider First Line Business Practice Location Address:
2933 PONI MOI RD
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:
96815-4740
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-922-4192
Provider Business Practice Location Address Fax Number:
808-924-2954
Provider Enumeration Date:
01/17/2006