Provider First Line Business Practice Location Address:
4424 KILAUEA AVE
Provider Second Line Business Practice Location Address:
HONOLULU
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96816-5115
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-497-3639
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/06/2007