Provider First Line Business Practice Location Address:
1003 KAPAHULU AVE
Provider Second Line Business Practice Location Address:
APT. # 103
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96816-1304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-989-3590
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/04/2011