Provider First Line Business Practice Location Address:
920A PUMEHANA ST
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:
96826-2617
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-256-5999
Provider Business Practice Location Address Fax Number:
808-535-5556
Provider Enumeration Date:
01/28/2014