Provider First Line Business Practice Location Address:
6700 KALANIANOLE HWY
Provider Second Line Business Practice Location Address:
STE 216
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96825
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-955-0008
Provider Business Practice Location Address Fax Number:
808-955-4961
Provider Enumeration Date:
03/29/2006