Provider First Line Business Practice Location Address:
2875 KOAPAKA ST STE A
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:
96819-1987
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-833-3414
Provider Business Practice Location Address Fax Number:
808-833-3416
Provider Enumeration Date:
07/27/2009