Provider First Line Business Practice Location Address:
2256 N SCHOOL 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:
96819-2538
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-671-1634
Provider Business Practice Location Address Fax Number:
808-832-0652
Provider Enumeration Date:
01/28/2013