Provider First Line Business Practice Location Address:
4340 PAHOA AVE
Provider Second Line Business Practice Location Address:
APT. #3D
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96816-5010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-732-2166
Provider Business Practice Location Address Fax Number:
808-732-2166
Provider Enumeration Date:
07/17/2007