Provider First Line Business Practice Location Address:
2445 KAALA STREET
Provider Second Line Business Practice Location Address:
MID PACIFIC INSTITUTE
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96822-2299
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-973-5091
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/16/2006