Provider First Line Business Practice Location Address:
2930 E MANOA RD
Provider Second Line Business Practice Location Address:
SUITE #C-5
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96822-1806
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-988-5532
Provider Business Practice Location Address Fax Number:
808-988-1612
Provider Enumeration Date:
01/02/2007