Provider First Line Business Practice Location Address:
320 OHUA AVE
Provider Second Line Business Practice Location Address:
STE 802
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96815-3670
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-371-3701
Provider Business Practice Location Address Fax Number:
808-356-0730
Provider Enumeration Date:
04/23/2007