Provider First Line Business Practice Location Address:
928 NUUANU AVE STE 202
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:
96817-5190
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-777-9460
Provider Business Practice Location Address Fax Number:
808-217-9174
Provider Enumeration Date:
11/23/2011