Provider First Line Business Practice Location Address:
3908 WAOKANAKA ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-5200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-291-3932
Provider Business Practice Location Address Fax Number:
808-595-8060
Provider Enumeration Date:
08/04/2006