Provider First Line Business Practice Location Address:
1580 MAKALOA ST STE 880
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:
96814-3258
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-728-3013
Provider Business Practice Location Address Fax Number:
808-836-1490
Provider Enumeration Date:
05/24/2011