Provider First Line Business Practice Location Address:
2957 KALAKAUA AVE
Provider Second Line Business Practice Location Address:
APT 201
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96815-4650
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-347-1969
Provider Business Practice Location Address Fax Number:
808-440-0395
Provider Enumeration Date:
06/14/2010