Provider First Line Business Practice Location Address:
2228 LILIHA ST STE 404
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:
96817-1654
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-388-4969
Provider Business Practice Location Address Fax Number:
808-748-3017
Provider Enumeration Date:
02/03/2012