Provider First Line Business Practice Location Address:
1016 KAPAHULU AVE STE 265
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:
96816-1318
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-277-7577
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/01/2007