Provider First Line Business Practice Location Address:
3375 KOAPAKA ST STE F245
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:
96819-1881
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-738-4540
Provider Business Practice Location Address Fax Number:
808-690-9163
Provider Enumeration Date:
12/16/2011