Provider First Line Business Practice Location Address:
1016 KAPAHULU AVE
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:
96816-1354
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-737-6277
Provider Business Practice Location Address Fax Number:
808-732-3707
Provider Enumeration Date:
06/17/2006