Provider First Line Business Practice Location Address:
3615 HARDING AVE
Provider Second Line Business Practice Location Address:
SUITE 509
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96816-3735
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-739-1992
Provider Business Practice Location Address Fax Number:
808-739-1995
Provider Enumeration Date:
08/07/2014