Provider First Line Business Practice Location Address:
838 SOUTH BERETANIA STREET
Provider Second Line Business Practice Location Address:
#308
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813-4625
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-547-4628
Provider Business Practice Location Address Fax Number:
808-547-4625
Provider Enumeration Date:
12/13/2006