Provider First Line Business Practice Location Address:
1744 LILIHA ST STE 206
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:
96817-3196
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-521-3008
Provider Business Practice Location Address Fax Number:
808-521-3009
Provider Enumeration Date:
10/04/2010