Provider First Line Business Practice Location Address:
6600 KALANIANAOLE HWY
Provider Second Line Business Practice Location Address:
114A
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96825-1273
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-395-2273
Provider Business Practice Location Address Fax Number:
808-394-2273
Provider Enumeration Date:
05/06/2013