Provider First Line Business Practice Location Address:
87-940 KULAUKU ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAIANAE
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96792-3353
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-275-7330
Provider Business Practice Location Address Fax Number:
808-668-1280
Provider Enumeration Date:
10/24/2008