Provider First Line Business Practice Location Address:
347 N KUAKINI ST
Provider Second Line Business Practice Location Address:
HPM 9
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-2336
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-523-8461
Provider Business Practice Location Address Fax Number:
808-528-1897
Provider Enumeration Date:
07/17/2006