Provider First Line Business Practice Location Address:
825 KEEAUMOKU ST
Provider Second Line Business Practice Location Address:
I-208
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-2368
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-949-0432
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/20/2011