Provider First Line Business Practice Location Address:
650 IWILEI RD
Provider Second Line Business Practice Location Address:
SPACE #225
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-5086
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-949-2208
Provider Business Practice Location Address Fax Number:
808-949-2209
Provider Enumeration Date:
05/12/2011