Provider First Line Business Practice Location Address:
1130 N NIMITZ HWY RM A224
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:
96817-5781
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-536-6333
Provider Business Practice Location Address Fax Number:
808-566-6080
Provider Enumeration Date:
06/03/2015