Provider First Line Business Practice Location Address:
2230 LILIHA ST STE 104
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:
96817-7357
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-261-4476
Provider Business Practice Location Address Fax Number:
808-263-4476
Provider Enumeration Date:
08/11/2009