Provider First Line Business Practice Location Address:
1110 UNIVERSITY AVENUE
Provider Second Line Business Practice Location Address:
SUITE 304
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96826-1544
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-861-3353
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/06/2015