Provider First Line Business Practice Location Address:
743 WAIAKAMILO RD
Provider Second Line Business Practice Location Address:
G
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-4336
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-841-6662
Provider Business Practice Location Address Fax Number:
808-845-2163
Provider Enumeration Date:
10/19/2007