Provider First Line Business Practice Location Address:
3037 LINCOLN 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:
96816-1422
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-551-4161
Provider Business Practice Location Address Fax Number:
808-735-5780
Provider Enumeration Date:
07/01/2006