Provider First Line Business Practice Location Address:
3322 CAMPBELL AVE
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:
96815-3856
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-735-2557
Provider Business Practice Location Address Fax Number:
808-737-1385
Provider Enumeration Date:
02/16/2007