Provider First Line Business Practice Location Address:
1712 LILIHA ST STE 205
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:
96817-3100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-219-0527
Provider Business Practice Location Address Fax Number:
808-913-3824
Provider Enumeration Date:
10/05/2006