Provider First Line Business Practice Location Address:
3020 KAIMUKI AVE
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:
96816-1419
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-732-7337
Provider Business Practice Location Address Fax Number:
808-735-6305
Provider Enumeration Date:
04/02/2007