Provider First Line Business Practice Location Address:
1580 MAKALOA ST
Provider Second Line Business Practice Location Address:
SUITE 535
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-3291
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-979-2875
Provider Business Practice Location Address Fax Number:
808-979-7575
Provider Enumeration Date:
07/31/2006