Provider First Line Business Practice Location Address:
1113 KAPAHULU AVE
Provider Second Line Business Practice Location Address:
SUIT C
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96816-5866
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-782-3551
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/08/2013