Provider First Line Business Practice Location Address:
3472 KANAINA AVE
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:
96815-4225
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-732-4622
Provider Business Practice Location Address Fax Number:
808-739-5464
Provider Enumeration Date:
05/25/2006