Provider First Line Business Practice Location Address:
1286 QUEEN EMMA 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:
96813-2303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-538-2828
Provider Business Practice Location Address Fax Number:
808-949-4577
Provider Enumeration Date:
02/28/2008