Provider First Line Business Practice Location Address:
1027 HALA DR
Provider Second Line Business Practice Location Address:
MALUHIA
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:
808-832-6129
Provider Business Practice Location Address Fax Number:
808-832-1932
Provider Enumeration Date:
01/23/2006