Provider First Line Business Practice Location Address:
250 VINEYARD ST
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:
96813-2445
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-521-9531
Provider Business Practice Location Address Fax Number:
808-533-1018
Provider Enumeration Date:
06/02/2016