Provider First Line Business Practice Location Address:
511 HAHAIONE ST
Provider Second Line Business Practice Location Address:
1B
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96825-1405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-396-6084
Provider Business Practice Location Address Fax Number:
808-396-6087
Provider Enumeration Date:
02/20/2007