Provider First Line Business Practice Location Address:
3028 HOLUA WAY
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:
96819-2932
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-847-5385
Provider Business Practice Location Address Fax Number:
808-847-5387
Provider Enumeration Date:
04/28/2011