Provider First Line Business Practice Location Address:
2347 MAKANANI DR
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:
96817-2040
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-841-3456
Provider Business Practice Location Address Fax Number:
808-847-2442
Provider Enumeration Date:
12/28/2010