Provider First Line Business Practice Location Address:
848 S BERETANIA ST
Provider Second Line Business Practice Location Address:
SUITE 408
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813-2551
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-983-9648
Provider Business Practice Location Address Fax Number:
808-537-1952
Provider Enumeration Date:
03/11/2009