Provider First Line Business Practice Location Address:
1712 LILIHA ST STE 202
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:
96817-5409
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-376-7740
Provider Business Practice Location Address Fax Number:
808-545-2913
Provider Enumeration Date:
06/28/2016