Provider First Line Business Practice Location Address:
1580 MAKALOA ST
Provider Second Line Business Practice Location Address:
#560
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-3237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-942-9420
Provider Business Practice Location Address Fax Number:
808-942-9429
Provider Enumeration Date:
10/27/2006