Provider First Line Business Practice Location Address:
1334 KANEWAI 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:
96816-1718
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-294-2208
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/04/2013