Provider First Line Business Practice Location Address:
2429 PALI HIGHWAY
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-564-0340
Provider Business Practice Location Address Fax Number:
808-595-0296
Provider Enumeration Date:
07/02/2014