Provider First Line Business Practice Location Address:
860 IWILEI RD
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:
96817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-924-9255
Provider Business Practice Location Address Fax Number:
808-922-9161
Provider Enumeration Date:
12/07/2005