Provider First Line Business Practice Location Address:
320 LILIUOKALANI AVE
Provider Second Line Business Practice Location Address:
PH01
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96815-3550
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-740-5983
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/29/2015