Provider First Line Business Practice Location Address:
85-180 ALA AKAU ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAIANAE
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96792-2323
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-697-3300
Provider Business Practice Location Address Fax Number:
808-697-3687
Provider Enumeration Date:
08/05/2013