Provider First Line Business Practice Location Address:
449 KAPAHULU AVE STE 207
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:
96815-3850
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-636-1828
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/25/2011