Provider First Line Business Practice Location Address:
848 ALA LILIKOI ST
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:
96818-2144
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-836-2020
Provider Business Practice Location Address Fax Number:
808-834-1334
Provider Enumeration Date:
09/17/2006