Provider First Line Business Practice Location Address:
1380 LUSITANA ST., SUITE 407
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:
96813-2439
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-523-8833
Provider Business Practice Location Address Fax Number:
808-528-1751
Provider Enumeration Date:
01/03/2006