Provider First Line Business Practice Location Address:
2230 LILIHA ST
Provider Second Line Business Practice Location Address:
LEVEL B
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-1646
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-585-4690
Provider Business Practice Location Address Fax Number:
808-585-4691
Provider Enumeration Date:
06/09/2006