Provider First Line Business Practice Location Address:
1631 OWAWA STREET
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:
96819-4223
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-853-7973
Provider Business Practice Location Address Fax Number:
808-848-8087
Provider Enumeration Date:
11/18/2008