Provider First Line Business Practice Location Address:
1620 N SCHOOL ST
Provider Second Line Business Practice Location Address:
#143
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-1851
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-845-2221
Provider Business Practice Location Address Fax Number:
808-845-0177
Provider Enumeration Date:
06/12/2006