Provider First Line Business Practice Location Address:
835 IWILEI RD
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:
96817-5017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-768-3090
Provider Business Practice Location Address Fax Number:
808-768-3099
Provider Enumeration Date:
05/31/2007